Lake Area Neuropsychology Associates Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

604 Issued in LA

Legal business name

LAKE AREA NEUROPSYCHOLOGY ASSOCIATES INC

Practice address

803 W Bayou Pines Dr Ste F
Lake Charles, LA 70601-7096

Phone

(337) 436-1631

NPI assigned

Jun 9, 2009

Organization subpart

No

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

Authorized official

Name

Charles M. Robertson, PSY.D.

Title

Licensed Clinical Psychologist

Phone

(337) 436-1631

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• David Paul Phillips, M.A., LPC, LMFT

  • Professional Counselor
  • Lake Charles, LA
  • NPI 1730357583
  NPD (past)
• Andrew J Thrasher, PH.D.

  • Clinical Psychologist
  • Sulphur, LA
  • NPI 1073797999
  NPD (past)

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1154557726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 W BAYOU PINES DR STE F",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017096",
            "telephone_number": "337-436-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 W BAYOU PINES DR STE F",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017096",
            "telephone_number": "337-436-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE AREA NEUROPSYCHOLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "337-436-1631",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Area Foot Care Center, Inc.
• Lake Area Laboratories
• Lake Area Medical Center
• Lake Area Medical Services
• Lake Area Medical Services, LLC
• Lake Area Physician Services LLC
• Lake Area Physician Services LLC
• Lake Area Physician Services LLC
• Lake Area Physician Services LLC
• Lake Area Prosthetics & Orthotics

• Community/Behavioral Health Agency in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.