Organization Active NPI

Center for Primary Care and Behavioral Health Services

  • Multi-Specialty Clinic/Center
  • Gretna, LA
National Provider Identifier
1073082780
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CENTER FOR PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES
Practice address
252 Hector Ave Ste a
Gretna, LA 70056-2548
Phone
(504) 417-3728
NPI assigned
Nov 26, 2018
Last updated
Jun 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Ms. Mary Esther Martinez
Title
Ceo
Phone
(504) 417-3728

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Primary Care Clinic/Center 261QP2300X NU
Psychiatric Residential Treatment Facility 323P00000X NU
Substance Abuse Rehabilitation Facility 324500000X NU

Addresses

Primary practice location

252 Hector Ave Ste a
Gretna, LA 70056-2548

Mailing address

PO Box 1756
Gretna, LA 70054-1756
Phone (504) 435-1444

Other identifiers 8

IdentifierTypeStateIssuer
AMERIOtherLAAMERIHEALTH CARITAS LOUISIANA
LHCOtherLALA. HEALTHCARE CONNECTIONS
UHCOtherLAUNITED HEALTHCARE COMMUNITY PLAN
MCAIDMedicaidLA
HBOtherLAHEALTHY BLUE
AETNAOtherLAAETNA BETTER HEALTH OF LOUISIANA
HUMOtherLAHUMANA
HUMANOtherLAHUMANA

National Provider Directory

National Provider Directory

Locations

252 Hector Ave
Gretna, LA 70056
Phone (504) 444-5640

252 Hector Ave
Ste A
Gretna, LA 70056
Phone (504) 435-1444

252 Hector Ave
Ste B
Gretna, LA 70056
Phone (504) 417-3728

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1073082780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1756",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700541756",
            "telephone_number": "504-435-1444",
            "fax_number": "504-372-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 HECTOR AVE STE A",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700562548",
            "telephone_number": "504-417-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-417-3728",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH CARITAS LOUISIANA",
            "identifier": "AMERI",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA. HEALTHCARE CONNECTIONS",
            "identifier": "LHC",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE COMMUNITY PLAN",
            "identifier": "UHC",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MCAID",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY BLUE",
            "identifier": "HB",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BETTER HEALTH OF LOUISIANA",
            "identifier": "AETNA",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "HUM",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "HUMAN",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.