The Equestrian Therapy Center of Slidell

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

THE EQUESTRIAN THERAPY CENTER OF SLIDELL

Practice address

32597 CC Road
Slidell, LA 70460-3269

Phone

(985) 641-4934

Fax

(985) 649-0982

NPI assigned

Jan 8, 2015

Organization subpart

No

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

Authorized official

Name

Beverly A Stubblefield, PHDNPI 1750435103

Title

Owner

Phone

(985) 641-4934

Specialties & licenses 1

Addresses

Tax ID family

The Equestrian Therapy Center of Slidell2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Equestrian Therapy Center of Slidell

  • Clinical Psychologist
  • Slidell, LA
  • NPI 1639567290
  NPD tax ID

Practitioners 1

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

• Beverly Ann Stubblefield, PH. D.

  • Clinical Psychologist
  • Slidell, LA
  • NPI 1750435103
  NPD (past) Authorized official

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1134517436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32597 CC ROAD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704603269",
            "telephone_number": "985-641-4934",
            "fax_number": "985-649-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32597 CC ROAD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704603269",
            "telephone_number": "985-641-4934",
            "fax_number": "985-649-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EQUESTRIAN THERAPY CENTER OF SLIDELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "STUBBLEFIELD",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-641-4934",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard P Texada Jr., MD
• Ky Than, PHARMD
• Zaw Win Thant, MD
• The Best Version of You Mental Health and Consulting Services, LLC
• The Counseling Center at Northshore Church
• The Equestrian Therapy Center of Slidell
• The Finger, Fong and Gosey Group Practice, LLC
• The Great Atlantic and Pacific Tea Company Inc
• The Hope Center for Autism Needs
• The Inclusion Project

• All providers in Slidell, LA
• Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.