Provider Demographics
NPI:1427925288
Name:BASS PSYCHIATRY
Entity type:Organization
Organization Name:BASS PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN, PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:502-602-4195
Mailing Address - Street 1:101 N 7TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-3916
Mailing Address - Country:US
Mailing Address - Phone:502-602-4195
Mailing Address - Fax:502-842-4358
Practice Address - Street 1:101 N 7TH ST STE 201
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-3916
Practice Address - Country:US
Practice Address - Phone:502-602-4195
Practice Address - Fax:502-842-4358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty