GERIATRIC PSYCHOLOGICAL SERVICES OF LOUISIANA APC (NPI# 1326325127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326325127 |
| Entity Type | Organization |
| Organization Name | GERIATRIC PSYCHOLOGICAL SERVICES OF LOUISIANA APC |
| Practice Address |
100 Asma Blvd Suite 237e Lafayette LA 70508-3858 |
| Practice Telephone | 3372671444 |
| Mailing Telephone | 3372671444 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2013-02-27 |
| Authorized Official Name | DR. EDMOND X BERGERON (PSYCHOLOGIST) |
| Authorized Official Telephone | 3372671444 |
| Authorized Official Credential | PH.D., M.P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
100 ASMA BLVD SUITE 237E |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-3858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659372134 | Julia Kathleen Bull | Nurse Practitioner | 100 Asma Blvd, Bldg 1, Suite 205, Lafayette, LA 70508-3858 | 2005-08-09 |
| 1790339240 | Devin Dorian Parker | Case Manager/Care Coordinator | 100 Asma Blvd, Ste. 200, Lafayette, LA 70508-3868 | 2019-08-01 |
| 1629512389 | Laura Broussard | Counselor | 100 Asma Blvd, Lafayette, LA 70508 | 2016-12-14 |
| 1013381615 | Valerie Simon | Case Manager/Care Coordinator | 100 Asma Blvd, Lafayette, LA 70508 | 2015-11-19 |
| 1487890448 | David Paul Wyman | Counselor | 100 Asma Blvd, Lafayette, LA 70508-3858 | 2008-12-22 |
| 1548314495 | Matthew Mack Abraham, LLC | Internal Medicine | 100 Asma Blvd, Bldg One, Ste 205, Lafayette, LA 70508-3858 | 2007-01-22 |
| 1174511794 | Matthew Mack Abraham | Family Medicine | 100 Asma Blvd, Suite 205, Lafayette, LA 70508-3858 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083116651 | Laura Kathleen Williams | Psychologist | 935 Moraga Rd Ste 215, Lafayette, CA 94549-4562 | 2018-02-28 |
| 1649780958 | Elizabeth Owens | Psychologist | 3468 Mt Diablo Blvd Ste B200, Lafayette, CA 94549-7102 | 2017-10-02 |
| 1598126351 | Acadiana Medical Psychological Services, LLC | Psychologist | 93 Magnate Dr, Lafayette, LA 70508-3840 | 2016-03-08 |
| 1023476892 | Mary L. Freeman, Ph.d. | Psychologist | 601 W Saint Mary Blvd Ste 406, Lafayette, LA 70506-3564 | 2016-02-08 |
| 1457729329 | Elyse Marie Manteris | Psychologist | 582 Beauprez Ave, Lafayette, CO 80026-3455 | 2015-09-09 |
| 1982015764 | Taylor Kathleen Locker | Psychologist | 678b N 36th St, Lafayette, IN 47905-4474 | 2014-05-14 |
| 1013341072 | Christopher David Keiper | Psychologist | 616 S 15th St, Lafayette, IN 47905-1232 | 2013-08-27 |
| 1730468216 | Janine Danniballe | Psychologist | 1245 Ilium Cir, Lafayette, CO 80026-1217 | 2011-08-15 |
| 1750674024 | Louisiana Geriatric Psychological Services, A Professional Corporation | Psychologist | 2851 Johnston St, Suite 313, Lafayette, LA 70503-3243 | 2011-05-19 |
| 1356555874 | Renee Babin Bonin | Psychologist | 200 Beaullieu Dr Bldg 9b-1, Lafayette, LA 70508-7230 | 2007-05-10 |
| Find all providers in LAFAYETTE | ||||
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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.