Randy Thibodeaix

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

209 N Main St
Opelousas, LA 70570-6256

Phone

(337) 942-6400

NPI assigned

Feb 3, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Healthy You Social Services, LLC

  • Community/Behavioral Health Agency
  • Opelousas, LA
  • NPI 1942508510
  NPD (past)

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1043758568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 OCTAVIA DR",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "705834639",
            "telephone_number": "337-962-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N MAIN ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706256",
            "telephone_number": "337-942-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAIX",
        "first_name": "RANDY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taran Taylor, PA-C
• Gervis Tezeno Jr.
• Jalencia Tezeno
• The Family Clinic Inc
• Matthew Blaine Theriot, N.P.
• Angela Mae Thibodeaux-Goins, C-FNP
• Amber Thibodeaux
• Ambrose Carroll Thibodeaux Jr., MT
• Carole Ann Thibodeaux, LAC AND RN
• Jay Thibodeaux

• Psychologist in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.