Individual provider Active NPI

Philip Louis Cenac Jr., M.D.

  • Psychiatry Physician
  • Baton Rouge, LA
National Provider Identifier
1114940152
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
012643 Issued in LA
Practice address
7850 Anselmo LN
Baton Rouge, LA 70810-1101
Phone
(225) 571-2914
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 012643 LA Primary

Addresses

Primary practice location

7850 Anselmo LN
Baton Rouge, LA 70810-1101

Mailing address

7850 Anselmo LN
Baton Rouge, LA 70810-1101
Phone (225) 571-2914

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 Medicine

State licenses

LicenseStateTypeSpecialty
12643LAMDSocial Worker
012643LAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1114940152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 ANSELMO LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101101",
            "telephone_number": "225-571-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 ANSELMO LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101101",
            "telephone_number": "225-571-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENAC",
        "first_name": "PHILIP",
        "middle_name": "LOUIS",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "012643",
            "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 2, 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.

Verify at the official NPI Registry.