DR. MAXINE ELIZABETH CAMPBELL-FLINT (NPI# 1093860371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093860371 |
Entity Type | Individual |
Full Name | DR. MAXINE ELIZABETH CAMPBELL-FLINT |
Credential | PHD, MP |
Practice Address |
412 N 4th St Suite 100 Baton Rouge LA 70802-5523 |
Mailing Address |
7725 Hanks Dr Baton Rouge LA 70812-4004 |
Practice Telephone | 2257191988 |
Practice Fax Number | 8887195854 |
Mailing Telephone | 2257191988 |
Mailing Fax Number | 8887195854 |
Enumeration Date | 2007-01-24 |
Last Update Date | 2017-06-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
MC3002401 | LA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1563439 | 05 |
Street Address |
412 N 4TH ST SUITE 100 |
City | BATON ROUGE |
State | LA |
Zip Code | 70802-5523 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710309216 | Jmj Psychological Services, LLC | Psychologist | 412 N 4th St, Suite 100, Baton Rouge, LA 70802-5523 | 2014-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881113801 | Mason D Ceasar | Counselor | 1520 Thomas H Delpit Dr Ste 219, Baton Rouge, LA 70802 | 2017-09-11 |
1508389800 | Arlette Henderson | Counselor | 4776 Adams Street, Baton Rouge, LA 70802 | 2017-07-19 |
1306375738 | Raven Turner | Social Worker | 1120 Spanish Town Rd, 108, Baton Rouge, LA 70802 | 2017-06-08 |
1528597176 | Maya Harvey | Case Manager/Care Coordinator | 1520 Thomas H Delpit, Baton Rouge, LA 70802 | 2017-06-07 |
1124554324 | Heart & Key Transportation, LLC | Non-emergency Medical Transport (VAN) | 1716 North 18th Street, Baton Rouge, LA 70802 | 2017-05-08 |
1730628769 | Abriel Hunter | Counselor | 3173 Washington Ave., Baton Rouge, LA 70802 | 2017-02-23 |
1528506284 | Brennan Manning | Counselor | 1520 Thomas Delpit St., Baton Rouge, LA 70802 | 2017-02-02 |
1124570163 | Ty Hightower | Counselor | 1520 Thomas Delpit, Baton Rouge, LA 70802 | 2016-10-25 |
1386190924 | Callesha Lashawn Young | Counselor | 1539 North 23rd Street, Baton Rouge, LA 70802 | 2016-09-01 |
1598118705 | Shenquie Jackson | Counselor | 1520 Thomas H Delpit Dr Ste 125, Baton Rouge, LA 70802 | 2016-07-22 |
Find all providers in zip 70802 |
Taxonomy Code | 103TP0016X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Prescribing (Medical) |
Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437159639 | Kelly Paulk Ray | Psychologist | 7913 Wrenwood Blvd Ste A, Baton Rouge, LA 70809 | 2005-07-29 |
1417376047 | Moturu Lalitha Kumari | Psychologist | 4983 Bluebonnet Blvd Ste A, Baton Rouge, LA 70809-3094 | 2014-04-10 |
1710309216 | Jmj Psychological Services, LLC | Psychologist | 412 N 4th St, Suite 100, Baton Rouge, LA 70802-5523 | 2014-01-17 |
1578696555 | Cherri E. Penton | Psychologist | 1805 College Dr, Baton Rouge, LA 70808-1919 | 2007-03-13 |
1629018585 | Family Therapy Clinic of Louisiana, LLC | Psychologist | 8480 Bluebonnet Blvd Ste A, Baton Rouge, LA 70810-2879 | 2006-06-08 |
1629039987 | Erich G Duchmann | Psychologist | 8480 Bluebonnet Blvd Ste A, Baton Rouge, LA 70810-2879 | 2006-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790297182 | George S. Park, Phd., Mp., A Psychology Corporation | Psychologist | 2285 Benton Rd Ste 401, Bossier City, LA 71111-7933 | 2017-10-25 |
1669887907 | John Courtney LLC | Psychologist | 118 Terra Bella Blvd, Suite 101, Covington, LA 70433-8148 | 2014-06-25 |
1730520925 | Faw Services, LLC | Psychologist | 223 Bellingrath Pl, Madisonville, LA 70447-3421 | 2013-07-16 |
1134418502 | Psychological Health Care of South Louisiana | Psychologist | 1016 Houma St, Houma, LA 70360-4420 | 2011-04-06 |
1922234566 | Felicia Ann Whiteman | Psychologist | 2331 Carey St, Slidell, LA 70458-3627 | 2009-06-10 |
1861627465 | Lakisha Shantell Williams | Psychologist | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2009-05-26 |
1710101373 | Rebecca Faye Nolan | Psychologist | 111 Carroll St, Shreveport, LA 71105-4203 | 2007-04-12 |
1013131267 | Dr. Maria B. Cruse Apmg | Psychologist | 604 North Acadia Road, Suite 201, Thibodaux, LA 70301 | 2007-04-12 |
1104925932 | Williams Consulting Inc. | Psychologist | 1410 Royal Ave, Monroe, LA 71201-5608 | 2006-09-21 |
1043247331 | Bryan L Bolwahnn | Psychologist | 100 Gayven Dr, Ball, LA 71405-4903 | 2006-06-26 |
Find all providers with the same taxonomy |
City | BATON ROUGE |
Zip Code | 70802 |
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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.