GARIC GRISBAUM (NPI# 1902217581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902217581 |
| Entity Type | Individual |
| Full Name | GARIC GRISBAUM |
| Credential | M.D. |
| Practice Address |
900 Wilkinson St Mandeville LA 70448-3533 |
| Mailing Address |
4512 Orleans Blvd Jefferson LA 70121-1224 |
| Practice Telephone | 9856244450 |
| Practice Fax Number | 9856244461 |
| Mailing Telephone | 5049058970 |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2020-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
307905 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
900 WILKINSON ST |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70448-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215080478 | Department of Health and Hospital | Clinic/Center | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2007-01-19 |
| 1558978866 | Kathleen Mary Powers | Counselor | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2020-09-30 |
| 1437762317 | Nancy Lynn Berg | Peer Specialist | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2020-08-28 |
| 1144842170 | Christopher Lee Todd Jr. | Licensed Practical Nurse | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2020-05-13 |
| 1881224053 | Alexis Michelle Caillouet | Licensed Practical Nurse | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2020-01-16 |
| 1366091761 | Renee Kuulei Mendenhall | Licensed Practical Nurse | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2019-09-09 |
| 1235791070 | Linda Marie Muse | Licensed Practical Nurse | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2019-07-02 |
| 1831754803 | Kathy Price Splain | Licensed Practical Nurse | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2019-05-06 |
| 1740795319 | Charleen Ciaccio Schreiner | Social Worker | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2017-12-05 |
| 1558804195 | Paulette Dawson | Social Worker | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2016-11-30 |
| 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 | 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 |
|---|---|---|---|---|
| 1891183596 | Chris Lartigue Md | Psychiatry & Neurology | 820 Lafitte St Ste 107, Mandeville, LA 70448-5274 | 2015-01-03 |
| 1154758738 | Insight Mental Health | Psychiatry & Neurology | 1011 N Causeway, Suite 21, Mandeville, LA 70471 | 2013-09-27 |
| 1063847853 | James Edward Hussey | Psychiatry & Neurology | 375 Winchester Cir, Mandeville, LA 70448-1938 | 2013-09-11 |
| 1821436353 | Lifenet Psychiatry Services, LLC | Psychiatry & Neurology | 500 Mariners Plaza Dr Ste 504, Mandeville, LA 70448-6852 | 2013-06-06 |
| 1619228509 | Radovi LLC | Psychiatry & Neurology | 7153 Edgewater Dr, Mandeville, LA 70471-7431 | 2012-10-02 |
| 1811253420 | Mohammad Imran Naeem | Psychiatry & Neurology | 4430 Highway 22 Ste B, Mandeville, LA 70471 | 2012-04-09 |
| 1093049280 | Lifenet Behavioral Health | Psychiatry & Neurology | 4070 Lonesome Rd, Suite B, Mandeville, LA 70448-7085 | 2009-09-22 |
| 1023208675 | Broderick Letrey Pinkney | Psychiatry & Neurology | 2810 East Causeway Approach, Mandeville, LA 70449-3502 | 2007-07-30 |
| 1811011489 | Hossam Abou-taleb | Psychiatry & Neurology | 23515 Highway 190, Mandeville, LA 70448 | 2007-03-19 |
| 1235279167 | William F Colomb | Psychiatry & Neurology | 1445 W Causeway Approach, Mandeville, LA 70471-3045 | 2007-02-08 |
| Find all providers in MANDEVILLE | ||||
| City | MANDEVILLE |
| Zip Code | 70448 |
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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.