Active NPI
Jamie C. Landry, PH.D.
- Psychologist
- Covington, LA
National Provider Identifier
1114230828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1065
- Practice address
- 70452 Highway 21
Suite 200 #116
Covington, LA 70433-8116 - Phone
- (504) 915-4121
- NPI assigned
- Jul 22, 2010
- Last updated
- Sep 10, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 1065 | LA | Primary |
Addresses
Primary practice location
70452 Highway 21
Suite 200 #116
Covington, LA 70433-8116
Mailing address
70452 Highway 21
Suite 200 #116
Covington, LA 70433-8116
Phone (504) 915-4121
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1065 | LA | MD | Chiropractor |
Organizations & group practices 1
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.
-
- Counseling Psychologist
- Covington, LA
- NPI 1780011098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1114230828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70452 HIGHWAY 21",
"address_2": "SUITE 200 #116",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338116",
"telephone_number": "504-915-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70452 HIGHWAY 21",
"address_2": "SUITE 200 #116",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338116",
"telephone_number": "504-915-4121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "JAMIE",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-22",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "LA",
"license": "1065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.