NPI 1053940015 · live from the CMS NPI Registry
Sean Thomas Beattie, DO
Psychiatry & Neurology, Neurology in Louisville, KY. National Provider Identifier 1053940015, active.
NPI record
| NPI | 1053940015 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 4003 Kresge Way Ste 400, Louisville, KY 40207 |
| Practice phone | 502-895-7265 |
| Mailing address | 1901 Campus Pl, Louisville, KY 40299 |
| Enumerated | April 2, 2020 |
| Last updated | June 24, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 06094 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.