Active NPI
Claire Dianne Peebles, PH.D.
- Clinical Child & Adolescent Psychologist
- Metairie, LA
National Provider Identifier
1063473213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 806
- Practice address
- 4517 Lorino St
Metairie, LA 70006-2323 - Phone
- (504) 454-3015
- Fax
- (504) 454-5803
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 806 | LA | Primary |
Addresses
Primary practice location
4517 Lorino St
Metairie, LA 70006-2323
Mailing address
4517 Lorino St
Metairie, LA 70006-2323
Phone (504) 454-3015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 806 | LA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212537600000",
"number": "1063473213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4517 LORINO ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062323",
"telephone_number": "504-454-3015",
"fax_number": "504-454-5803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4517 LORINO ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062323",
"telephone_number": "504-454-3015",
"fax_number": "504-454-5803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEEBLES",
"first_name": "CLAIRE",
"middle_name": "DIANNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2008-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "LA",
"license": "806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.