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

Wellspace Psychiatry LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1710694468

Wellspace Psychiatry LLC is a Psychiatric/Mental Health Nurse Practitioner in Louisville, Kentucky. Registered with an NPI since 2022.

In the registry since
2022
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

9700 Park Plaza Ave Unit 210
Louisville, KY 40241-2287
Phone: (502) 419-4289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1710694468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Federer — Owner/Administrator · (502) 419-4289
Other names Wellspace Psychiatry; Wellspace Psychiatry
NPI enumeratedNovember 2, 2022
Last updated in NPPESJuly 25, 2023
Certification dateFebruary 20, 2023
Mailing address9700 Park Plaza Ave Unit 210, Louisville, KY 40241-2287

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