Monpsych Care Professional Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD.14626R Issued in LA

Legal business name

MONPSYCH CARE PROFESSIONAL CORPORATION

Practice address

110 Elsinore Dr
West Monroe, LA 71292-0170

Phone

(318) 397-8251

Fax

(318) 397-8251

NPI assigned

Mar 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Krishna K Kambhampati, M.D.

Title

President

Phone

(318) 397-8251

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033236393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ELSINORE DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712920170",
            "telephone_number": "318-397-8251",
            "fax_number": "318-397-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ELSINORE DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712920170",
            "telephone_number": "318-397-8251",
            "fax_number": "318-397-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONPSYCH CARE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAMBHAMPATI",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-397-8251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.14626R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134180",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.