Neuropsychology Services of Louisiana, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1148 Issued in LA

Legal business name

NEUROPSYCHOLOGY SERVICES OF LOUISIANA, LLC

Practice address

1754 Texas St
Natchitoches, LA 71457-3429

Phone

(866) 944-8604

Fax

(888) 330-9069

NPI assigned

Jul 30, 2012

Last updated

Sep 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany Jennings, PSYDNPI 1912145640

Title

Owner/Neuropsychologist

Phone

(866) 944-8604

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

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.

• Tiffany Ann Jennings, PSYD

  • Clinical Neuropsychologist
  • Shreveport, LA
  • NPI 1912145640
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1073869954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 WHITE OAK LN",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576708",
            "telephone_number": "866-944-8604",
            "fax_number": "888-330-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 TEXAS ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714573429",
            "telephone_number": "866-944-8604",
            "fax_number": "888-330-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGY SERVICES OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER/NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "866-944-8604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "1148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Clinical Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.