Organization Active NPI

Seaside Behavioral Center, LLC

  • Psychiatric Hospital
  • New Orleans, LA
National Provider Identifier
1124355128
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
SEASIDE BEHAVIORAL CENTER, LLC
Practice address
3601 Coliseum St
New Orleans, LA 70115-3606
Phone
(504) 393-4223
NPI assigned
Nov 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Sherry Campbell, BSBA-HRM, SHRM-CP
Title
Ceo
Phone
(504) 393-4223

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X
Psychiatric Hospital 283Q00000X LA Primary

Addresses

Primary practice location

3601 Coliseum St
New Orleans, LA 70115-3606

Mailing address

3601 Coliseum St
New Orleans, LA 70115-3606
Phone (504) 393-4223

Other practice location 1

4201 Woodland Dr
New Orleans, LA 70131-7339
Phone (504) 393-4223

Other identifiers 1

IdentifierTypeStateIssuer
2700073MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 194006

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CPC COLISEUM MEDICAL CENTER
Certification status
Terminated Voluntary: merger or closure, Dec 1, 1995
Provider type (POS)
Hospital – Psychiatric
Participating since
Feb 1, 1974
Last certification
Nov 12, 1993
Beds
77
Ownership / control type
Private (for profit)
Facility address
3601 Coliseum St
New Orleans, LA 70115

Hospital certification: CCN 194100

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SEASIDE BEHAVIORAL CENTER
Certification status
Terminated Voluntary: merger or closure, Feb 5, 2024
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 9, 2010
Last certification
Jun 3, 2021
Beds
34
Ownership / control type
Private (for profit)
Facility address
3601 Coliseum St., 6TH Floor
New Orleans, LA 70115

National Provider Directory

National Provider Directory

Locations

8848 Youree Dr
Shreveport, LA 71115

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1124355128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 COLISEUM ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153606",
            "telephone_number": "504-393-4223",
            "fax_number": "504-218-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 COLISEUM ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153606",
            "telephone_number": "504-393-4223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Woodland Dr",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701317339",
            "country_code": "US",
            "telephone_number": "504-393-4223",
            "fax_number": "504-393-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEASIDE BEHAVIORAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-393-4223",
        "authorized_official_credential": "BSBA-HRM, SHRM-CP"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2700073",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.