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 Psychologist · NPI 1265070809

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

In the registry since
2019
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

4803 Olympia Park Plz Ste 1100
Louisville, KY 40241-3068
Phone: (502) 272-5134
Fax: (502) 272-5339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X
Clinical Psychologist Taxonomy 103TC0700X
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Women's Health Nurse Practitioner Taxonomy 363LW0102X

Record details

NPI number1265070809
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelley Gast — Syst Vp Of Mngd Care & Payor Strat · (502) 272-5335
Other names Norton Children'S Gynecology; Norton Children'S Gynecology
NPI enumeratedDecember 13, 2019
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 22, 2021
Mailing addressPo Box 776879, Chicago, IL 60677-6879

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