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

Norton Children's Medical Group, LLC

Organization Clinical Neuropsychologist · NPI 1134760796

Norton Children's Medical Group, LLC is a Clinical Neuropsychologist in Louisville, Kentucky. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
13
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

4803 Olympia Park Plz Ste 1100
Louisville, KY 40241-3068
Phone: (502) 272-5336
Fax: (502) 272-5339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X
Clinical Neuropsychologist Taxonomy 103G00000X
Clinical Social Worker Taxonomy 1041C0700X
Neurological Surgery Physician Taxonomy 207T00000X
Neurology Physician Taxonomy 2084N0400X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Physical Therapist Taxonomy 225100000X
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1134760796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelley Gast — Syst Vp Mngd Care & Payor Strat · (502) 272-5335
Other names Norton Children'S Neurology; Norton Children'S Neurology
NPI enumeratedOctober 4, 2019
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 22, 2021
Mailing addressPo Box 776879, Chicago, IL 60677-6879

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