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 1770190167

Norton Children's Medical Group, LLC is a Clinical Psychologist in Louisville, Kentucky. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
9
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

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X
Clinical Psychologist Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X
Registered Dietitian Taxonomy 133V00000X
Metabolic Nutrition Registered Dietitian Taxonomy 133VN1006X
Genetic Counselor (M.S.) Taxonomy 170300000X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1770190167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelley Gast — Syst Vp Mngd Care & Payor Strat · (502) 272-5335
Other names Norton Children'S Genetics Center; Norton Children'S Genetics Center
NPI enumeratedSeptember 29, 2020
Last updated in NPPESJanuary 10, 2022
Certification dateJanuary 10, 2022
Mailing addressPo Box 776879, Chicago, IL 60677-6879

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