NPIMap

Organization Active NPI

Lifenet Behavioral Health

  • Psychiatry Physician
  • Mandeville, LA
National Provider Identifier
1093049280
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
020750 Issued in LA
Legal business name
LIFENET BEHAVIORAL HEALTH
Practice address
4070 Lonesome Rd
Suite B
Mandeville, LA 70448-7085
Phone
(985) 246-2600
Fax
(985) 246-2601
NPI assigned
Sep 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Wesley Ehrett McClain
Title
Administrator
Phone
(985) 246-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 020750 LA Primary

Addresses

Primary practice location

4070 Lonesome Rd
Suite B
Mandeville, LA 70448-7085

Mailing address

4070 Lonesome Rd
Suite B
Mandeville, LA 70448-7085
Phone (985) 246-2600

National Provider Directory

National Provider Directory

Locations

4070 Lonesome Rd
#B
Mandeville, LA 70448
Phone (985) 246-2600

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1093049280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 LONESOME RD",
            "address_2": "SUITE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487085",
            "telephone_number": "985-246-2600",
            "fax_number": "985-246-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 LONESOME RD",
            "address_2": "SUITE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487085",
            "telephone_number": "985-246-2600",
            "fax_number": "985-246-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFENET BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "EHRETT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "985-246-2600"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "020750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 22, 2009; 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.