Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Norton Children's Medical Group - Bowling Green LLC

Organization Clinical Psychologist · NPI 1164279089

Norton Children's Medical Group - Bowling Green LLC is a Clinical Psychologist in Bowling Green, Kentucky. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

615 7th Ave
Bowling Green, KY 42101-6921
Phone: (270) 846-4800
Fax: (270) 846-4828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Clinical Psychologist Taxonomy 103TC0700X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X
Internal Medicine Physician Taxonomy 207R00000X
General Practice Physician Taxonomy 208D00000X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1164279089
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelley Gast — Vp - Managed Care · (502) 272-5332
NPI enumeratedApril 30, 2024
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing addressPo Box 776879, Chicago, IL 60677-6879

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