PSYCHOLOGICAL HEALTH CARE OF SOUTH LOUISIANA (NPI# 1134418502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134418502 |
Entity Type | Organization |
Organization Name | PSYCHOLOGICAL HEALTH CARE OF SOUTH LOUISIANA |
Practice Address |
1016 Houma St Houma LA 70360-4420 |
Practice Telephone | 9858595455 |
Practice Fax Number | 9858595455 |
Mailing Telephone | 9858595455 |
Mailing Fax Number | 9858595455 |
Enumeration Date | 2011-04-06 |
Last Update Date | 2011-04-06 |
Authorized Official Name | DR. KENNETH CHRISTOPHER RACHAL (PRESIDENT) |
Authorized Official Telephone | 9858595455 |
Authorized Official Credential | PHD, MP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
MP.0014 | LA | Behavioral Health & Social Service Providers |
Y | 103G00000X | Clinical Neuropsychologist | 895 | LA | Behavioral Health & Social Service Providers |
Street Address |
1016 HOUMA ST |
City | HOUMA |
State | LA |
Zip Code | 70360-4420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447692165 | Kayla Zito Vicknair | Genetic Counselor, MS | 1016 Houma St, Houma, LA 70360-4420 | 2013-07-23 |
1912271370 | Kimberly L Reynolds | Counselor | 1016 Houma St, Houma, LA 70360-4420 | 2012-03-02 |
1356619050 | Amy Scioneaux Lagarde | Counselor | 1016 Houma St, Houma, LA 70360-4420 | 2011-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699382697 | Start Corporation | Clinic/Center | 106 School Street, Houma, LA 70360 | 2020-09-24 |
1013474196 | Christi Thibodeaux Rodrigue | Case Manager/Care Coordinator | 427west Tunnel Blvd, Houma, LA 70360 | 2019-02-26 |
1053801415 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1420 Saint Charles St, Houma, LA 70360 | 2018-05-11 |
1447780044 | Shakira Harding | Counselor | 148 Columbus Street, Houma, LA 70360 | 2017-06-15 |
1639608995 | Rakitha Monique Volter-jones | Counselor | 6522 West Main Street, Houma, LA 70360 | 2017-06-08 |
1588103469 | Eyecare Specialties | Ophthalmology | 564 Valhi Blvd, Houma, LA 70360 | 2017-02-13 |
1538605464 | Houma Dental Associates, LLC | Dentist | 5934 West Main St, Houma, LA 70360 | 2017-01-17 |
1649721143 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 143 War Horse Place, Houma, LA 70360 | 2016-10-19 |
1528417045 | Mandi Gaubert Bonvillain | Psychologist | 1018 Verrett Street, Houma, LA 70360 | 2016-06-06 |
1295182434 | Kerry M Guidry | Chiropractor | 6902 West Main Street, Houma, LA 70360 | 2016-05-18 |
Find all providers in zip 70360 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972742948 | Bianchini-rachal, LLC | Clinical Neuropsychologist | 8120 Main St, Ste 405, Houma, LA 70360-3403 | 2009-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841776077 | Anneliese Catherine Boettcher | Clinical Neuropsychologist | 1514 Jefferson Hwy Fl 6, New Orleans, LA 70121-2429 | 2018-07-11 |
1013392869 | Kimberly S Hutchinson | Clinical Neuropsychologist | 1 Lakeshore Dr Ste 1610, Lake Charles, LA 70629-0117 | 2015-07-22 |
1184967499 | Julie Anne Alvarez | Clinical Neuropsychologist | 1555 Poydras St Ste 1200, Southeast Louisiana Veterans Health Care System, New Orleans, LA 70112-3710 | 2013-04-04 |
1003165069 | Dian Evans | Clinical Neuropsychologist | 7000 Magazine St, New Orleans, LA 70118-4876 | 2012-09-06 |
1073826186 | Roquel A Williams | Clinical Neuropsychologist | 566 E 71st St, Shreveport, LA 71106-4404 | 2010-07-17 |
1295974210 | Gina Lynn Gibson | Clinical Neuropsychologist | 1602 W Pinhook Rd Ste 303, Lafayette, LA 70508-3735 | 2009-02-14 |
1508072216 | John Truman Fanning | Clinical Neuropsychologist | 4440 Canal Street, New Orleans, LA 70119-6021 | 2007-05-16 |
1265586085 | Psychological Resources, P.C. | Clinical Neuropsychologist | 5 Platt Dr, Kenner, LA 70065-1018 | 2007-01-22 |
1194877811 | Karen Rinardo Speier | Clinical Neuropsychologist | 650 Steele Boulevard, Baton Rouge, LA 70806-5742 | 2007-01-16 |
1114012614 | Vincent Anthony Escandell | Clinical Neuropsychologist | 2495 Shreveport, Highway 71 North, Pineville, LA 71360 | 2006-10-03 |
Find all providers with the same taxonomy |
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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.