Lakisha Yvette Mamon, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

026572 Issued in LA

Practice address

3909 Bienville St
Suite 102
New Orleans, LA 70119-5151

Phone

(504) 486-0020

Fax

(504) 486-0023

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Access Health Louisiana

  • Federally Qualified Health Center (FQHC)
  • Marrero, LA
  • NPI 1255226429
  NPD (past)
• Ekems Healthcare, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Orleans, LA
  • NPI 1467648485
  NPD (past)
• Ochsner Clinic LLC

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1407848443
  NPD (past)
• Ochsner Clinic LLC

  • General Practice Physician
  • Kenner, LA
  • NPI 1952840654
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1043352453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 BIENVILLE ST",
            "address_2": "SUITE 102",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195151",
            "telephone_number": "504-486-0020",
            "fax_number": "504-486-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 BIENVILLE ST",
            "address_2": "SUITE 102",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195151",
            "telephone_number": "504-486-0020",
            "fax_number": "504-486-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMON",
        "first_name": "LAKISHA",
        "middle_name": "YVETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "026572",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "LA",
            "license": "026572",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063142",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Renee Malter, PA-C
• Dudley Paul Malveaux III
• Valencia Maria Malveaux, NP
• Ishwarya Shradha Mamidi
• Sara Mamman
• Matina Elise Mamounas, MD
• Tara Danielle Managan, LMSW
• Renee Manake, M.D
• Janet Manalac, MD
• Bernard Luke Manale, M.D.

• Psychiatry Physician in New Orleans, LA
• Providers in New Orleans, 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 14, 2012; 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.