Active NPI
Brenda L Dawson, PH.D.
- Psychologist
- Baton Rouge, LA
National Provider Identifier
1114096310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 659
- Practice address
- 11505 Perkins Rd
BLDG II Ste D
Baton Rouge, LA 70810-9103 - Phone
- (225) 763-2400
- Fax
- (225) 763-2211
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 659 | LA | Primary |
Addresses
Primary practice location
11505 Perkins Rd
BLDG II Ste D
Baton Rouge, LA 70810-9103
Mailing address
11505 Perkins Rd
BLDG II Ste D
Baton Rouge, LA 70810-9103
Phone (225) 763-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 659 | LA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382054400000",
"number": "1114096310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11505 PERKINS RD",
"address_2": "BLDG II STE D",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708109103",
"telephone_number": "225-763-2400",
"fax_number": "225-763-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11505 PERKINS RD",
"address_2": "BLDG II STE D",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708109103",
"telephone_number": "225-763-2400",
"fax_number": "225-763-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "BRENDA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2013-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "LA",
"license": "659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.