Active NPI
Christopher W. Lartigue, M.D.
- Psychiatry Physician
- Mandeville, LA
National Provider Identifier
1073610184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 06040R
- Practice address
- 820 Lafitte St
Ste. 107
Mandeville, LA 70448-5273 - Phone
- (985) 624-5020
- Fax
- (985) 624-5029
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 06040R | LA | Primary |
Addresses
Primary practice location
820 Lafitte St
Ste. 107
Mandeville, LA 70448-5273
Mailing address
820 Lafitte St
Ste. 107
Mandeville, LA 70448-5273
Phone (985) 624-5020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1331066 | Medicaid | LA |
Other names 1
- Chris Lartigue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 4, 2014 through Aug 4, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06040R | LA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Children and Families | Past | Accepting new patients | |
| Chris Lartigue MD | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Mandeville, LA
- NPI 1891183596
-
dba Northeast Florida State Hospital
- Psychiatric Hospital
- Macclenny, FL
- NPI 1013931765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418342400000",
"number": "1073610184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 LAFITTE ST",
"address_2": "STE. 107",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704485273",
"telephone_number": "985-624-5020",
"fax_number": "985-624-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 LAFITTE ST",
"address_2": "STE. 107",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704485273",
"telephone_number": "985-624-5020",
"fax_number": "985-624-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARTIGUE",
"first_name": "CHRISTOPHER",
"middle_name": "W.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2014-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "06040R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1331066",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRIS",
"last_name": "LARTIGUE",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.