Square One LLC
NPI 1063202794 · Developmental - Behavioral Pediatrics Physician · Louisville, KY
Square One LLC is a Developmental - Behavioral Pediatrics Physician organization in Louisville, KY (NPI 1063202794).
Provider details
- NPI number
- 1063202794
- Entity type
- Organization
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cassidy Niehaus, Office Manager(502) 896-2606
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-07
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Frequently asked questions
- What is Square One LLC's NPI number?
- Square One LLC's National Provider Identifier (NPI) is 1063202794, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Square One LLC?
- Square One LLC is classified in the NPPES registry as Developmental - Behavioral Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Square One LLC located?
- Square One LLC's practice location on file with NPPES is 6440 Dutchmans Pkwy Fl 2, Louisville, KY 40205-3352.
- What is Square One LLC's phone number?
- The practice phone number listed in the NPPES registry for Square One LLC is (502) 896-2606.
- Who is the authorized official for Square One LLC?
- The authorized official listed on Square One LLC's NPPES record is Cassidy Niehaus, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Square One LLC's NPI active?
- Yes — Square One LLC's NPI (1063202794) is active in the NPPES registry as of the last update on 2025-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.