Individual provider Active NPI

Vincent Anthony Escandell, PH.D.

  • Clinical Neuropsychologist
  • Fort Polk, LA
National Provider Identifier
1114012614
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
784 Issued in LA
Practice address
1585 3Rd St
Fort Polk, LA 71459-5102
Phone
(318) 473-0010
Fax
(318) 483-5096
NPI assigned
Oct 3, 2006
Last updated
Nov 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 784 LA Primary
Clinical Psychologist 103TC0700X 784 LA

Addresses

Primary practice location

1585 3Rd St
Fort Polk, LA 71459-5102

Mailing address

Bayne-Jones Army Community Hospital
1585 Third St
Fort Polk, LA 71459
Phone (318) 451-1115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130313000369 LA Practitioner - Clinical Psychologist 8527213818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6016 Navaho Trail
Alexandria, LA 71301-2735
Phone (318) 451-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
22730TXMDDentist
784LAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Escandell & Associates, LLC Psychologist CurrentSince Dec 23, 2012 Accepting new patients
Alexandria Vamc PastSince Sep 27, 2020 Accepting new patients

Locations

3311 Prescott Rd
Ste 201
Alexandria, LA 71301
Phone (318) 442-6767

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1114012614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BAYNE-JONES ARMY COMMUNITY HOSPITAL",
            "address_2": "1585 THIRD ST",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "71459",
            "telephone_number": "318-451-1115",
            "fax_number": "318-448-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "318-473-0010",
            "fax_number": "318-483-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCANDELL",
        "first_name": "VINCENT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "LA",
            "license": "784",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Polk, LA

Sources for this page

Verify at the official NPI Registry.