DNP-OUTPATIENT (NPI# 1235366204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235366204 |
| Entity Type | Organization |
| Organization Name | DNP-OUTPATIENT |
| Practice Address |
23515 Hwy 190 Mandeville LA 70448 |
| Mailing Address |
Po Box 3850 Mandeville LA 70470-3850 |
| Practice Telephone | 9856266300 |
| Practice Fax Number | 9856266557 |
| Mailing Telephone | 9856266300 |
| Mailing Fax Number | 9856266557 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |
| Authorized Official Name | PATRICIA GONZALES (C.E.O.) |
| Authorized Official Telephone | 9856266300 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHEAST LOUISIANA STATE HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0005X |
Psychiatry & Neurology Specialization: Neurodevelopmental Disabilities |
Allopathic & Osteopathic Physicians |
| Street Address |
23515 HWY 190 |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043264351 | Ness Healthcare Nfp | Psychiatry & Neurology | 23515 Hwy 190, Mandeville, LA 70448 | 2006-05-20 |
| 1770710741 | Challenges-day Program | Psychiatry & Neurology | 23515 Hwy 190, Mandeville, LA 70448 | 2009-06-17 |
| 1497992390 | Louisiana United Methodist Children & Family Services, Inc | Psychiatric Residential Treatment Facility | 23515 Hwy 190, Mandeville, LA 70448-7334 | 2009-01-14 |
| 1518129907 | Southeast Louisiana State Hospital | Psychiatry & Neurology | 23515 Hwy 190, Southeast Louisiana State Hospital, Mandeville, LA 70448 | 2008-06-27 |
| 1801008974 | John Edward Hebert | Psychologist | 23515 Hwy 190, Mandeville, LA 70448 | 2007-05-03 |
| 1265657365 | Carolyn Conti Floitt | Pharmacist | 23515 Hwy 190, Mandeville, LA 70448 | 2007-04-16 |
| 1083839187 | Chris Joseph Ivanyisky | Pharmacist | 23515 Hwy 190, Mandeville, LA 70470 | 2007-04-16 |
| 1528283629 | Betty Stevenson Sheridan | Pharmacy Technician | 23515 Hwy 190, Mandeville, LA 70470 | 2007-04-16 |
| 1982829081 | Heather Littell Miller | Pharmacist | 23515 Hwy 190, Mandeville, LA 70448 | 2007-04-16 |
| 1689899783 | Patricia Dantonio Marchand | Pharmacist | 23515 Hwy 190, Mandeville, LA 70448 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1346712957 | Start Corporation | Clinic/Center | 23251 South Robin Road, Mandeville, LA 70448 | 2018-12-20 |
| 1952870362 | Oh Project-lafayette | Community/Behavioral Health | 23515 Us 190, Northlake Academy Building, Mandeville, LA 70448 | 2018-11-14 |
| 1083113187 | Amanda Stokes Barker | Occupational Therapist | 1903 University Dr, Mandeville, LA 70448 | 2018-02-05 |
| 1629594544 | Ochsner Clinic LLC | Internal Medicine | 3235 E Causeway Approach, Mandeville, LA 70448 | 2017-08-22 |
| 1831628288 | Katherine Lea Gristina | Speech-Language Pathologist | 307 Copal Street, Mandeville, LA 70448 | 2017-06-08 |
| 1154779551 | Jonathan Ferguson | Specialist/Technologist | 26301 La-1088, Mandeville, LA 70448 | 2016-05-26 |
| 1568821874 | Raymond Wallace IIi | Licensed Vocational Nurse | 23861 South Robin Rd, Mandeville, LA 70448 | 2016-02-15 |
| 1548629140 | Martha Miller | Clinical Nurse Specialist | 400 Mariner's Blvd, Mandeville, LA 70448 | 2016-02-11 |
| 1023483435 | Tina Marie Catalano | Licensed Practical Nurse | 23861 South Robin Road, Mandeville, LA 70448 | 2015-12-10 |
| Find all providers in zip 70448 | ||||
| Taxonomy Code | 2084P0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician or neurologist who specializes in the diagnosis and management of chronic conditions that affect the developing and mature nervous system such as cerebral palsy, mental retardation and chronic behavioral syndromes, or neurologic conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate for NDN was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Ongoing early discussions regarding proposal. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093213217 | Jeremy Bernard Sanders | Psychiatry & Neurology | 314 W Hale St, Lake Charles, LA 70601 | 2018-01-23 |
| City | MANDEVILLE |
| Zip Code | 70448 |
Please comment or provide details below to improve the information on DNP-OUTPATIENT.
| 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.