Bianchini-Etherton | NPI 1023217684

Key facts

NPI: 1023217684
Entity type: Organization (NPI type 2)
Primary specialty: Cognitive & Behavioral Psychologist 103TB0200X
License: 859 (LA)
Legal business name: BIANCHINI-ETHERTON
Practice address: 3939 Houma Blvd
Suite #223
Metairie, LA 70006-2931
Phone: (504) 780-1702
Fax: (504) 780-1705
NPI assigned: Jul 13, 2007
Organization subpart: No

Authorized official

Name: Joe Etherton, PH.D.
Title: Partner
Phone: (504) 780-1702

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Cognitive & Behavioral Psychologist Group: 193400000X SINGLE SPECIALTY GROUP	103TB0200X	859	LA	Yes

Addresses

Primary practice location

3939 Houma Blvd
Suite #223
Metairie, LA 70006-2931

Mailing address

3939 Houma Blvd
Suite #223
Metairie, LA 70006-2931
Phone (504) 780-1702

Other identifiers

Identifier	Type	State	Issuer
859	Other	LA	STATE LICENSE NUMBER
$$$$$$$$$	Other		SOCIAL SECURITY NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 21, 2020.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1023217684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "SUITE #223",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062931",
            "telephone_number": "504-780-1702",
            "fax_number": "504-780-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "SUITE #223",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062931",
            "telephone_number": "504-780-1702",
            "fax_number": "504-780-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIANCHINI-ETHERTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "ETHERTON",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "504-780-1702",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "LA",
            "license": "859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "859",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

All providers in Metairie, LA · Cognitive & Behavioral Psychologist in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.