PSYCHOLOGICAL HEALTH CARE OF SOUTH LOUISIANA


Address: 1016 Houma St, Houma, LA 70360-4420
Phone: 9858595455

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1016 HOUMA ST
City HOUMA
State LA
Zip Code 70360-4420

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972742948 Bianchini-rachal, LLC Clinical Neuropsychologist 8120 Main St, Ste 405, Houma, LA 70360-3403 2009-02-13

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City HOUMA
Zip Code 70360

Improve Information

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Dataset Information

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.

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