NPIMap

Organization Active NPI

Bamburg Consulting, Inc.

  • Clinical Psychologist
  • Pineville, LA
National Provider Identifier
1083862353
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
951 Issued in LA
Legal business name
BAMBURG CONSULTING, INC.
Practice address
106 N Bend Dr
Pineville, LA 71360-4677
Phone
(318) 442-4498
NPI assigned
Aug 28, 2008
Last updated
Aug 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Dr. Jerald Wayne Bamburg Jr., PH.D.NPI 1598926644
Title
Executive Director
Phone
(318) 442-4498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X 951 LA
Cognitive & Behavioral Psychologist 103TB0200X 951 LA
Clinical Psychologist 103TC0700X 951 LA Primary
Clinical Child & Adolescent Psychologist 103TC2200X 951 LA
Forensic Psychologist 103TF0200X 951 LA
Intellectual & Developmental Disabilities Psychologist 103TM1800X 951 LA

Addresses

Primary practice location

106 N Bend Dr
Pineville, LA 71360-4677

Mailing address

106 N Bend Dr
Pineville, LA 71360-4677
Phone (318) 442-4498

National Provider Directory

National Provider Directory

Locations

1400 W Court St
Winnfield, LA 71483
Phone (318) 328-5445

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1083862353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N BEND DR",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604677",
            "telephone_number": "318-442-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N BEND DR",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604677",
            "telephone_number": "318-442-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMBURG CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "BAMBURG",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-442-4498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "LA",
            "license": "951",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "LA",
            "license": "951",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "951",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "LA",
            "license": "951",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "LA",
            "license": "951",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "LA",
            "license": "951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.