NPIMap

Organization Active NPI

Northshore Behavior Innovations, LLC

  • Community/Behavioral Health Agency
  • Mandeville, LA
National Provider Identifier
1154878817
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
L-139 Issued in LA
Legal business name
NORTHSHORE BEHAVIOR INNOVATIONS, LLC
Practice address
1616 Destin St
Mandeville, LA 70448-3921
Phone
(225) 718-4629
NPI assigned
Sep 9, 2016
Last updated
Sep 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Gina N. Strate, MA, BCBA, LBA
Title
Owner
Phone
(225) 718-4629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X L-139 LA Primary

Addresses

Primary practice location

1616 Destin St
Mandeville, LA 70448-3921

Mailing address

1616 Destin St
Mandeville, LA 70448-3921
Phone (225) 718-4629

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1154878817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 DESTIN ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483921",
            "telephone_number": "225-718-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 DESTIN ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483921",
            "telephone_number": "225-718-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE BEHAVIOR INNOVATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "STRATE",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-718-4629",
        "authorized_official_credential": "MA, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "L-139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.