Pediatrics, Developmental - Behavioral Pediatrics
SQUARE ONE LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1063202794 · enumerated 2025-05-07 · record updated 2025-05-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: CASSIDY NIEHAUS, Office Manager · (502) 896-2606
Addresses and phones
- Practice location 6440 DUTCHMANS PKWY FL 2, LOUISVILLE, KY, 40205-3352 (502) 896-2606 Fax (502) 896-0487 Google Maps Apple Maps OpenStreetMap
- Mailing address 6440 DUTCHMANS PKWY FL 2, LOUISVILLE, KY, 40205-3352 (502) 896-2606 Google Maps Apple Maps OpenStreetMap
Specialties
- Clinical Neuropsychologist 103G00000X
- Psychologist, Clinical Child & Adolescent 103TC2200X
- Pediatrics, Developmental - Behavioral Pediatrics 2080P0006X · Primary
In this directory
KY Jefferson County Louisville Pediatrics, Developmental - Behavioral Pediatrics
Locations and evidence
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Practice location
LOUISVILLE, KY, 402053352
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.