Active NPI
Michael Douglas De Mahy, PH.D.
- Counseling Psychologist
- Lafayette, LA
National Provider Identifier
1164443818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 406
- Practice address
- 401 Audubon Blvd Ste 206B
Lafayette, LA 70503-2600 - Phone
- (337) 232-0060
- Fax
- (337) 232-0062
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 406 | LA | Primary |
Addresses
Primary practice location
401 Audubon Blvd Ste 206B
Lafayette, LA 70503-2600
Mailing address
401 Audubon Blvd Ste 206B
Lafayette, LA 70503-2600
Phone (337) 232-0060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210802003111 | LA | Practitioner - Clinical Psychologist | 0547664310 | Practice locations: Lafayette, LA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
401 Audubon Blvd
Suite 206B
Lafayette, LA 70503-2676
Phone (337) 232-0060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 406 | LA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164443818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 AUDUBON BLVD STE 206B",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032600",
"telephone_number": "337-232-0060",
"fax_number": "337-232-0062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 AUDUBON BLVD STE 206B",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032600",
"telephone_number": "337-232-0060",
"fax_number": "337-232-0062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE MAHY",
"first_name": "MICHAEL",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "LA",
"license": "406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.