IndividualActive
Jacks Gilles, PSY.D., LP
NPI 1124212972 · Clinical Psychologist · Louisville, KY
Provider details
- NPI number
- 1124212972
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D., LP
- Sole proprietor
- No
- License
- 1745 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(93/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
633 Baxter Ave
Louisville, KY 40204-1157
Phone: (502) 309-2408
Street-level locationGet directions
Mailing address
633 Baxter Ave
Louisville, KY 40204-1157
Additional practice locations (1)
- 1190 E BroadwayLouisville, KY 40204-1712Phone: (502) 627-0905
Registry dates
- Enumerated
- 2007-09-04
- Last updated
- 2024-11-19
- Certified
- 2024-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.