Kevin J. Bianchini, PH.D., LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

685 Issued in LA

Legal business name

KEVIN J. BIANCHINI, PH.D., LLC

Practice address

3939 Houma Blvd
Suite #223
Metairie, LA 70006-2931

Phone

(504) 780-1702

Fax

(504) 780-1705

NPI assigned

Jul 13, 2007

Organization subpart

No

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

Authorized official

Name

Kevin Bianchini, PH.D.

Title

President

Phone

(504) 780-1702

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1154520740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "SUITE #223",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062931",
            "telephone_number": "504-780-1702",
            "fax_number": "504-780-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "SUITE #223",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062931",
            "telephone_number": "504-780-1702",
            "fax_number": "504-780-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN J. BIANCHINI, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "BIANCHINI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-780-1702",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "LA",
            "license": "685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "685",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Kern, M.D.
• Olivia Kerth, PA-C
• Stephen Charles Kessler, LPC, LAC
• Ketamine Infusion Center LLC
• Amaya Mallory Ketchens
• Katherine B Key, M.C.D.
• Samantha Keyes
• Linda Keys, RPH
• Ramiz Khalaf, M.D.
• Samir Khalaf, M.D.

• Clinical Neuropsychologist in Metairie, LA
• Providers in Metairie, LA by specialty
• Clinical Neuropsychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.