NPIMap

Organization Active NPI

Thibodaux Behavioral Health, LLC.

  • Psychiatry Physician
  • Thibodaux, LA
National Provider Identifier
1124732540
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
THIBODAUX BEHAVIORAL HEALTH, LLC.
Practice address
209 New Hope Dr
Thibodaux, LA 70301-8087
Phone
(985) 387-1198
NPI assigned
Jan 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Dr. Venkata Devabhaktuni, MDNPI 1891734752
Title
Owner/MD
Phone
(985) 387-1198

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

209 New Hope Dr
Thibodaux, LA 70301-8087

Mailing address

209 New Hope Dr
Thibodaux, LA 70301-8087
Phone (985) 852-2317

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1124732540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NEW HOPE DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703018087",
            "telephone_number": "985-852-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NEW HOPE DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703018087",
            "telephone_number": "985-387-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIBODAUX BEHAVIORAL HEALTH, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "DEVABHAKTUNI",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "985-387-1198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.