NPIMap

Organization Active NPI

Compass Psychiatric Specialties, Inc.

Doing business as Compass Psychiatric Specialties Practice Managament

  • Psychiatric/Mental Health Nurse Practitioner
  • Houma, LA
National Provider Identifier
1154648301
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP05139 Issued in LA
Legal business name
COMPASS PSYCHIATRIC SPECIALTIES, INC.
Doing business as
Compass Psychiatric Specialties Practice Managament
Practice address
6472 W Main St
Houma, LA 70360-2265
Phone
(337) 442-3163
Fax
(318) 442-4779
NPI assigned
Apr 28, 2010
Last updated
Apr 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Authorized official

Name
Mark Cullen
Title
Ceo
Phone
(337) 788-3330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP05139 LA Primary
Clinical Social Worker 1041C0700X LA

Addresses

Primary practice location

6472 W Main St
Houma, LA 70360-2265

Mailing address

PO Box 428
Crowley, LA 70527-0428
Phone (337) 785-8003

Other names 1

  • Compass Psychiatric Specialties Practice Managament Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Compass Behavioral Center of Houma Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1154648301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705270428",
            "telephone_number": "337-785-8003",
            "fax_number": "337-785-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6472 W MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602265",
            "telephone_number": "337-442-3163",
            "fax_number": "318-442-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS PSYCHIATRIC SPECIALTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-788-3330"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP05139",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compass Psychiatric Specialties Practice Managament",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.