Cleanse Clinic, PLLC
NPI 1659726628 · Addiction Psychiatry Physician · Louisville, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cleanse Clinic, PLLC is a Addiction Psychiatry Physician organization in Louisville, KY (NPI 1659726628).
Provider details
- NPI number
- 1659726628
- Entity type
- Organization
- Primary specialty
- Addiction Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Margaret Groll, Business Manager(812) 987-4330
- License
- 800212 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 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
Mailing address
Additional practice locations (3)
- 1700 State StNew Albany, IN 47150-4916Phone: (812) 914-7038Fax: (812) 748-6035
- 1800 Highland AveCarrollton, KY 41008-8770Phone: (502) 316-6675Fax: (502) 371-6110
- 1616 Harrodsburg RdLexington, KY 40504-3706Phone: (859) 402-8224Fax: (859) 523-0226
Registry dates
- Enumerated
- 2016-04-27
- Last updated
- 2024-08-13
- Certified
- 2024-08-13
Frequently asked questions
- What is Cleanse Clinic, PLLC's NPI number?
- Cleanse Clinic, PLLC's National Provider Identifier (NPI) is 1659726628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cleanse Clinic, PLLC?
- Cleanse Clinic, PLLC is classified in the NPPES registry as Addiction Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Cleanse Clinic, PLLC located?
- Cleanse Clinic, PLLC's practice location on file with NPPES is 645 S Roy Wilkins Ave Ste 100, Louisville, KY 40203-2072.
- What is Cleanse Clinic, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Cleanse Clinic, PLLC is (502) 583-4092.
- Does Cleanse Clinic, PLLC accept Medicare?
- Cleanse Clinic, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Cleanse Clinic, PLLC?
- The authorized official listed on Cleanse Clinic, PLLC's NPPES record is Margaret Groll, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cleanse Clinic, PLLC's NPI active?
- Yes — Cleanse Clinic, PLLC's NPI (1659726628) is active in the NPPES registry as of the last update on 2024-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.