Individual provider Active NPI

Joseph Anthony Grizzaffi Jr., M.D.

  • Child & Adolescent Psychiatry Physician
  • Baton Rouge, LA
National Provider Identifier
1013064732
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
019886 Issued in LA
Practice address
5131 Odonovan Dr
Ste 300
Baton Rouge, LA 70808-4782
Phone
(225) 374-0400
Fax
(225) 374-0430
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 019886 LA Primary

Addresses

Primary practice location

5131 Odonovan Dr
Ste 300
Baton Rouge, LA 70808-4782

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 765-5500

Other practice location 1

10100 Goodwood Blvd
Baton Rouge, LA 70815-4521
Phone (225) 924-7707

Other identifiers 1

IdentifierTypeStateIssuer
1993051MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jgrizzaffi6292@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000042 LA Practitioner - Psychiatry 1456320027 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
019886LAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC CurrentSince Dec 1, 2014 Accepting new patients
Our Lady of the Lake Physician Group LLC Psychiatry CurrentSince Dec 1, 2014 Accepting new patients

Locations

5131 Odonovan Dr
Ste 300
Baton Rouge, LA 70808
Phone (225) 374-0400

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

2051 Silverside Dr
Ste 260
Baton Rouge, LA 70808
Phone (225) 490-6301

8080 Margaret Ann Ave
Baton Rouge, LA 70809
Phone (225) 765-4353

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

7777 Hennessy Blvd
Ste 6000
Baton Rouge, LA 70808
Phone (225) 765-8648

Interoperability endpoints

  • Direct secure messaging: jgrizzaffi6292@direct.casso.us.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1013064732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-765-5500",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 ODONOVAN DR",
            "address_2": "STE 300",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084782",
            "telephone_number": "225-374-0400",
            "fax_number": "225-374-0430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10100 Goodwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708154521",
            "country_code": "US",
            "telephone_number": "225-924-7707",
            "fax_number": "225-926-9467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIZZAFFI",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "LA",
            "license": "019886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1993051",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgrizzaffi6292@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jgrizzaffi6292@direct.casso.us.com",
            "address_1": "5131 ODonovan Dr",
            "address_2": "Ste 300",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708084782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5131 ODonovan Dr",
            "address_2": "Ste 300",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708084782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.