NPIMap

Organization Active NPI

Dr. Maria B. Cruse Apmg

  • Prescribing (Medical) Psychologist
  • Thibodaux, LA
National Provider Identifier
1013131267
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
09188R Issued in LA
Legal business name
DR. MARIA B. CRUSE APMG
Practice address
604 North Acadia Road
Suite 201
Thibodaux, LA 70301
Phone
(985) 493-9304
Fax
(985) 493-9305
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. Maria B. Cruse, MD
Title
Owner
Phone
(985) 493-9304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP0016X 09188R LA Primary

Addresses

Primary practice location

604 North Acadia Road
Suite 201
Thibodaux, LA 70301

Mailing address

604 N Acadia Rd
Suite 201
Thibodaux, LA 70301-4847
Phone (985) 493-9304

Other identifiers 2

IdentifierTypeStateIssuer
1650421MedicaidLA
1152919MedicaidLA

National Provider Directory

National Provider Directory

Locations

604 N Acadia Rd
Ste 201
Thibodaux, LA 70301
Phone (985) 493-9304

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1013131267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N ACADIA RD",
            "address_2": "SUITE 201",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014847",
            "telephone_number": "985-493-9304",
            "fax_number": "985-493-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 NORTH ACADIA ROAD",
            "address_2": "SUITE 201",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-493-9304",
            "fax_number": "985-493-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARIA B. CRUSE APMG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "CRUSE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-493-9304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "09188R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1650421",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1152919",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.