NPIMap

Organization Active NPI

Keystone Center for Pediatric Behavioral Health

  • Community/Behavioral Health Agency
  • Covington, LA
National Provider Identifier
1114672326
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KEYSTONE CENTER FOR PEDIATRIC BEHAVIORAL HEALTH
Practice address
319 S Tyler St
Covington, LA 70433-3037
Phone
(985) 234-0228
NPI assigned
Feb 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Dr. Elise McIverNPI 1821512237
Title
Director
Phone
(985) 234-0228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

319 S Tyler St
Covington, LA 70433-3037

Mailing address

319 S Tyler St
Covington, LA 70433-3037

National Provider Directory

National Provider Directory

Locations

319 S Tyler St
Covington, LA 70433
Phone (985) 234-0228

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": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1114672326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S TYLER ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S TYLER ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333037",
            "telephone_number": "985-234-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE CENTER FOR PEDIATRIC BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "MCIVER",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "985-234-0228",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Apr 7, 2022; 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.