MICHAEL D CHAFETZ PHD LLC (NPI# 1902060585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902060585 |
| Entity Type | Organization |
| Organization Name | MICHAEL D CHAFETZ PHD LLC |
| Practice Address |
3520 General Degaulle Dr Ste 3044 New Orleans LA 70114-6757 |
| Practice Telephone | 3366598536 |
| Mailing Telephone | 3366598536 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2014-03-14 |
| Authorized Official Name | MS. KATHY MONTGOMERY (BUSINESS MANAGER) |
| Authorized Official Telephone | 3366599440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
762 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1695513 | 05 |
| Street Address |
3520 GENERAL DEGAULLE DR STE 3044 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70114-6757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477515187 | William Smith Brasted | Psychologist | 3520 General Degaulle Dr, Suite 4098, New Orleans, LA 70114-6757 | 2006-04-06 |
| 1043767189 | Takeisha Nelson | Counselor | 3520 General Degaulle Dr, Suite # 4070, New Orleans, LA 70114 | 2016-09-07 |
| 1619423514 | Brian C Larce | Case Manager/Care Coordinator | 3520 General Degaulle Dr, New Orleans, LA 70114-6757 | 2016-08-30 |
| 1144673765 | Nola Innovative Psychiatric Services, LLC | Nurse Practitioner | 3520 General Degaulle Dr, Ste 4098, New Orleans, LA 70114-6757 | 2016-07-19 |
| 1801253059 | Gervey and Associates, LLC | Psychologist | 3520 General Degaulle Dr, Suite 4098, New Orleans, LA 70114-6757 | 2016-01-19 |
| 1780049643 | Monique Lynette Lewis | Counselor | 3520 General Degaulle Dr, Suite 4070, New Orleans, LA 70114-6757 | 2015-12-19 |
| 1467817452 | Datrice Smith | Social Worker | 3520 General Degaulle Dr, New Orleans, LA 70114-6757 | 2015-12-18 |
| 1083079206 | Teidra Gaspard | Case Manager/Care Coordinator | 3520 General Degaulle Dr, Suite 4070, New Orleans, LA 70114-6757 | 2015-12-15 |
| 1548634868 | Justine Pigott | Counselor | 3520 General Degaulle Dr, Suite 4070, New Orleans, LA 70114-6757 | 2015-11-24 |
| 1194109355 | Tallace Madina | Counselor | 3520 General Degaulle Dr, New Orleans, LA 70114-6757 | 2015-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789645 | Reginald A Parquet | Social Worker | 3510 General Meyer Avenue, New Orleans, LA 70114 | 2019-03-14 |
| 1386114957 | Trenai' Augusta Lewis | Registered Nurse | Use 3100 General Degaulle, New Orleans, LA 70114 | 2018-11-27 |
| 1003335522 | Samiyya Antoinette Degree | Case Manager/Care Coordinator | 1525 L B Landry Ave, New Orleans, LA 70114 | 2017-09-15 |
| 1972021533 | Latara Mack | Counselor | Louisiana Support Services 3630 Macarthur Blvd, New Orleans, LA 70114 | 2017-09-05 |
| 1053837419 | Jemal Causey | Counselor | 1210 Belleville Street, New Orleans, LA 70114 | 2017-08-17 |
| 1528590320 | Brandon Christopher Shelly | Case Manager/Care Coordinator | 1110 Thayer St, New Orleans, LA 70114 | 2017-03-30 |
| 1639618820 | Livegood At Home Care Services LLC | In Home Supportive Care | 1048 Flanders Street, New Oreans, LA 70114 | 2017-02-21 |
| 1215472733 | Shannon Newell | Counselor | 1927 Flanders, New Orleans, LA 70114 | 2016-12-20 |
| 1285177899 | Shannon Delavallade | Case Manager/Care Coordinator | 1300 Evelina St, New Orleans, LA 70114 | 2016-11-30 |
| 1770026395 | Grant Burns Jr. | Counselor | 3520 General Degaulle Dr Ste 4070, New Orleans, LA 70114 | 2016-11-30 |
| Find all providers in zip 70114 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1497378848 | Lifesource of North Carolina | Psychologist | 8315 Zimpel St, New Orleans, LA 70118-1169 | 2020-05-20 |
| 1396397816 | Eileen Marie Palace | Psychologist | 2820 Napoleon Ave Ste 340, New Orleans, LA 70115-6977 | 2019-07-15 |
| 1356906812 | Jinaki Flint | Psychologist | 7934 Edinburgh Street, New Orleans, LA 70125 | 2019-05-09 |
| 1518452036 | Leigh Miller | Psychologist | 7611 Maple St Ste A2, New Orleans, LA 70118-5068 | 2018-06-27 |
| 1407395411 | Center for Resilience Inc | Psychologist | 2603 Baronne St, New Orleans, LA 70113 | 2017-02-23 |
| 1992256200 | Rebecca Anne Elliott Smith | Psychologist | 2738 General Pershing Street, New Orleans, LA 70115 | 2016-10-21 |
| 1780131185 | The Color Gallery, Inc. | Psychologist | 2220 Oretha Castle Haley Blvd, New Orleans, LA 70113-1508 | 2016-09-02 |
| 1568812832 | Kelly Bolger | Psychologist | 3517 Camp St, 1/2, New Orleans, LA 70115-2535 | 2016-06-17 |
| 1568833242 | Brian Lamar Turner | Psychologist | 2105 Arts St, New Orleans, LA 70117-7611 | 2015-10-07 |
| 1740667146 | Jared Ian Israel | Psychologist | Brent House, 1514 Jefferson Highway, New Orleans, LA 70121 | 2015-05-05 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70114 |
Please comment or provide details below to improve the information on MICHAEL D CHAFETZ PHD LLC.
| 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.