MRS. JESSICA SKOLD CLARK CHANDAMURI


Address: 5640 Read Blvd Ste 810, New Orleans East Behavioral Health Clinic, New Orleans, LA 70127-3125
Phone: 5042437600

MRS. JESSICA SKOLD CLARK CHANDAMURI (NPI# 1629211305) 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) 1629211305
Entity Type Individual
Full Name MRS. JESSICA SKOLD CLARK CHANDAMURI
Other Name DR. JESSICA SKOLD CLARK
Credential M.D.
Practice Address 5640 Read Blvd Ste 810
New Orleans East Behavioral Health Clinic
New Orleans
LA 70127-3125
Practice Telephone 5042437600
Practice Fax Number 5042437610
Mailing Telephone 5042437600
Mailing Fax Number 5042437610
Enumeration Date 2009-04-10
Last Update Date 2013-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
MD205301 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1883255 05

Office Location

Street Address 5640 READ BLVD STE 810
NEW ORLEANS EAST BEHAVIORAL HEALTH CLINIC
City NEW ORLEANS
State LA
Zip Code 70127-3125

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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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1053766204 Adina Suss Psychiatry & Neurology 1542 Tulane Ave Fl 2, New Orleans, LA 70112-2865 2016-04-25
1902274525 Seaside Behavioral Center, LLC Psychiatry & Neurology 4201 Woodland Drive, New Orleans, LA 70131 2015-09-14
1558741793 Celine M Elson Psychiatry & Neurology 4031 Vendome Pl, New Orleans, LA 70125-3519 2015-06-03
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1003243551 Maurice David Gelder Psychiatry & Neurology 5323 Coliseum Street, New Orleans, LA 70115 2013-09-30
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Competitor

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City NEW ORLEANS
Zip Code 70127

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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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