Active NPI
Laura Niditch, PH.D.
- Clinical Psychologist
- New Orleans, LA
National Provider Identifier
1164810024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1335
- Practice address
- 1301 Antonine St
New Orleans, LA 70115-3601 - Phone
- (504) 899-1682
- NPI assigned
- Dec 30, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1335 | LA | Primary |
Addresses
Primary practice location
1301 Antonine St
New Orleans, LA 70115-3601
Mailing address
1301 Antonine St
New Orleans, LA 70115-3601
Other names 1
- Laura Niditch Pejic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1335 | LA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Psychiatry | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442707200000",
"number": "1164810024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 ANTONINE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701153601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 ANTONINE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701153601",
"telephone_number": "504-899-1682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIDITCH",
"first_name": "LAURA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-30",
"last_updated": "2015-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "1335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "PEJIC",
"middle_name": "NIDITCH",
"code": "5",
"type": "Other Name"
}
]
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- Jonathan Nierman, LCSW
- Nightwater Clinic, LLC
- Nightwater Health of Louisiana, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.