CECIL CLIFTON DOPSON JR. (NPI# 1669584876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669584876 |
| Entity Type | Individual |
| Full Name | CECIL CLIFTON DOPSON JR. |
| Other Name | CLIF DOPSON |
| Credential | MD |
| Practice Address |
610 Herndon St Shreveport LA 71101-4704 |
| Practice Telephone | 3184243867 |
| Practice Fax Number | 3184245006 |
| Mailing Telephone | 3184243867 |
| Mailing Fax Number | 3184245006 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2012-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
13604 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID | X9X050921 | 01 |
| LA | 1309958 | 05 |
| Street Address |
610 HERNDON ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992096226 | Clif Dopson, M.d. Apmc | Psychiatry & Neurology | 610 Herndon St, Shreveport, LA 71101-4704 | 2011-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235739 | Precision Telemed, LLC | Psychiatry & Neurology | 8977 Brandon Dr, Shreveport, LA 71118-2341 | 2020-11-02 |
| 1992165591 | Alinejad Wellness,inc | Psychiatry & Neurology | 1066 Rochel Dr, Shreveport, LA 71115-3889 | 2016-02-25 |
| 1255775052 | Shawn E. Mcneil | Psychiatry & Neurology | 1111 Line Ave Fl 3, Shreveport, LA 71101 | 2013-04-23 |
| 1609194356 | Wk Center for Psychiatric Support | Psychiatry & Neurology | 1111 Line Ave 3rd Floor Tower 2, Shreveport, LA 71101-3981 | 2010-05-05 |
| 1982836284 | Patrick E. Sewell Sr. | Psychiatry & Neurology | 3311 Line Ave., Shreveport, LA 71104 | 2009-08-20 |
| 1740481506 | Anshuman Jyoti | Psychiatry & Neurology | 2508 Bert Kouns Industrial Loop Ste 203, Shreveport, LA 71118-3175 | 2007-05-30 |
| 1942411483 | Kenneth Gregory Stephens | Psychiatry & Neurology | 727 Edgemont St, Shreveport, LA 71106-2223 | 2007-05-25 |
| 1770794083 | Devanshi K. Jani | Psychiatry & Neurology | 1666 E. Bert Kouns, Suite 220, Shreveport, LA 71105-5714 | 2007-05-25 |
| 1588773675 | Frances Edna Hagaman | Psychiatry & Neurology | 2924 Knight St, Building 3 Suite 350, Shreveport, LA 71105-2415 | 2006-08-30 |
| 1831203074 | Dean Edward Robinson | Psychiatry & Neurology | Overton Brooks Va Medical Center, 510 E. Stoner Ave., Shreveport, LA 71101 | 2006-08-17 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
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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.