CAPITOL CLINICAL & FORENSIC PSYCHIATRY, LLC (NPI# 1003135138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003135138 |
| Entity Type | Organization |
| Organization Name | CAPITOL CLINICAL & FORENSIC PSYCHIATRY, LLC |
| Practice Address |
240 L S U Ave Baton Rouge LA 70808-4636 |
| Mailing Address |
5261 Highland Rd Baton Rouge LA 70808-6547 |
| Practice Telephone | 2252429221 |
| Practice Fax Number | 8888173026 |
| Mailing Telephone | 2252429221 |
| Mailing Fax Number | 8888173026 |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2020-02-08 |
| Authorized Official Name | DR. HERBERT LEBOURGEOIS III (PSYCHIATRIST/MEMBER) |
| Authorized Official Telephone | 2252429221 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
025396 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
240 L S U AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-4636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417018300 | Susan Michelle Garriga | Psychiatry & Neurology | 4914 Mcclelland Dr, Baton Rouge, LA 70805-3101 | 2006-12-13 |
| 1316949530 | Kenneth Todd | Psychiatry & Neurology | 7932 Wrenwood Blvd, Ste C, Baton Rouge, LA 70809-7702 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972786978 | Susan E Uhrich Md Apllc | Psychiatry & Neurology | 4640 West Congress St., Lafayette, LA 70506 | 2007-12-12 |
| 1932309325 | Mehdi Qalbani | Psychiatry & Neurology | 400 Poydras St Ste 1950, New Orleans, LA 70130-3341 | 2007-07-23 |
| 1821124439 | Richard W Richoux | Psychiatry & Neurology | 601 N Carrollton Ave, Ste. D, New Orleans, LA 70119-4700 | 2007-02-26 |
| 1568541316 | Craig Joseph Troxclair | Psychiatry & Neurology | 719 Elysian Fields Ave, New Orleans, LA 70117-8511 | 2006-11-03 |
| 1952488223 | Patrick John Dowling | Psychiatry & Neurology | 1314 St Mary St, New Orleans, LA 70130 | 2006-11-01 |
| 1194815266 | James B Denney | Psychiatry & Neurology | 609 Brownswitch Rd, Slidell, LA 70458-1233 | 2006-10-12 |
| 1245240951 | Daphne Ann Glindmeyer | Psychiatry & Neurology | 611 Riverhighlands, Covington, LA 70433 | 2006-08-08 |
| 1649245069 | Donna M Mancuso | Psychiatry & Neurology | 1301 Antonine St, Suite 500, New Orleans, LA 70115-3601 | 2006-02-20 |
| 1295735116 | Padmini Nagaraj | Psychiatry & Neurology | 3351 Severn Ave, Suite 301, Metairie, LA 70002-7414 | 2005-07-21 |
| 1770872285 | Benjamin Mauldin Lowenburg | Psychiatry & Neurology | 1440 Canal St, Tb-53, New Orleans, LA 70112-2703 | 2011-04-05 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
Please comment or provide details below to improve the information on CAPITOL CLINICAL & FORENSIC PSYCHIATRY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.