EBAN WALTERS (NPI# 1023309085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023309085 |
Entity Type | Individual |
Full Name | EBAN WALTERS |
Credential | PH.D. |
Practice Address |
4401 Veterans Memorial Blvd Suite 201 Metairie LA 70006-5340 |
Mailing Address |
7608 Willow St New Orleans LA 70118-4052 |
Practice Telephone | 5043023226 |
Practice Fax Number | 5042670298 |
Mailing Telephone | 5043023226 |
Enumeration Date | 2011-04-26 |
Last Update Date | 2013-06-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
1150 | LA | Behavioral Health & Social Service Providers |
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1150 | LA | Behavioral Health & Social Service Providers |
Street Address |
4401 VETERANS MEMORIAL BLVD SUITE 201 |
City | METAIRIE |
State | LA |
Zip Code | 70006-5340 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245601988 | Khan Psychiatry LLC | Specialist | 4401 Veterans Memorial Blvd, Suite 201, Metairie, LA 70006-5340 | 2015-10-07 |
1083047427 | Elisa Hope Himel | Nurse Practitioner | 4401 Veterans Memorial Blvd, Suite 201, Metairie, LA 70006-5340 | 2013-08-20 |
1730422130 | Rebecca Thien-trang Nguyen | Counselor | 4401 Veterans Memorial Blvd, Suite #201, Metairie, LA 70006-5340 | 2013-04-03 |
1073876934 | Axis One Behavioral Solutions A Professional Medical Corporation | Social Worker | 4401 Veterans Memorial Blvd, Suite 201, Metairie, LA 70006-5340 | 2012-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
Find all providers in zip 70006 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972758639 | Adrianne M Brennan | Psychologist | 433 Metairie Rd Ste 615, Metairie, LA 70005-4326 | 2008-11-22 |
1497895262 | Mercy Family Center | Psychologist | 110 Veterans Memorial Blvd., Suite 425, Metairie, LA 70005-4959 | 2007-02-08 |
1063473213 | Claire Dianne Peebles | Psychologist | 4517 Lorino St, Metairie, LA 70006-2323 | 2006-03-29 |
1609163351 | Sisters of Mercy Ministries D/b/a Mercy Family Center | Psychologist | 110 Veterans Memorial Blvd Ste 425, Metairie, LA 70005-4959 | 2011-07-01 |
1205154580 | Bianchini-bokelberg, LLC | Psychologist | 3939 Houma Blvd, Ste 223, Metairie, LA 70006-2931 | 2010-05-11 |
1992028765 | Bianchini-topolosky, LLC | Psychologist | 3939 Houma Blvd, Ste 223, Metairie, LA 70006-2931 | 2010-03-09 |
1013057967 | Katherine A Robison | Psychologist | 3350 Ridgelake Dr, Suite 100, Metairie, LA 70002-3836 | 2007-02-08 |
1932246014 | Lisa L'rue Arceneaux | Psychologist | 110 Veterans Blvd, Suite 425, Metairie, LA 70005-3027 | 2007-01-30 |
1033260849 | William E Fowler | Psychologist | 3351 Severn Ave, Suite 301, Metairie, LA 70002-7414 | 2007-01-16 |
1477577922 | Scuddy F. Fontenelle IIi | Psychologist | 118 Ridgelake Dr, Metairie, LA 70001-5312 | 2006-07-27 |
Find all providers in METAIRIE |
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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.