John Fanning, PH.D.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSYCHOLOGY 468 Issued in LA

Legal business name

JOHN FANNING, PH.D.

Practice address

4440 Canal St
New Orleans, LA 70119-5947

Phone

(504) 421-0730

NPI assigned

Sep 13, 2016

Last updated

Sep 13, 2016By 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. John Truman Fanning, PHDNPI 1508072216

Title

Clinical Neuropsychologist

Phone

(504) 421-0730

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Truman Fanning, PH.D

  • Clinical Psychologist
  • New Orleans, LA
  • NPI 1508072216
  Authorized official Same address or phone

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1033667563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 PECAN GROVE LN",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701211130",
            "telephone_number": "504-421-0730",
            "fax_number": "888-959-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195947",
            "telephone_number": "504-421-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN FANNING, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "FANNING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TRUMAN",
        "authorized_official_title_or_position": "CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "504-421-0730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "PSYCHOLOGY 468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1552836",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlus Anthony Joe, PHARM D
• Andi Siva Marie Johannes
• Kelly Elaine Johanson
• Edward Lawrence Johansson Jr., CRNA
• John Dibert Community School
• John H Vockroth M.D. LLC
• John J. Hainkel, Jr. Home & Rehabilitation Center
• John Mark Burney DDS and Mia Burney, LLC (Smile Snob)
• Brianna John
• Jessin Koshy John, M.D. PH.D.

• Community/Behavioral Health Agency in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.