NPIMap

Organization Active NPI

Louisiana State Psychiatry LLC

  • Psychiatry Physician
  • Baton Rouge, LA
National Provider Identifier
1184027195
Registry record updated Oct 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LOUISIANA STATE PSYCHIATRY LLC
Practice address
6810 Jefferson Hwy
Apt 1309
Baton Rouge, LA 70806-8175
Phone
(225) 366-7126
NPI assigned
Oct 4, 2014
Last updated
Oct 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2014

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

Authorized official

Name
Dr. Timothy Jeider, M.D.
Title
Chief Executive Officer
Phone
(225) 366-7126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

6810 Jefferson Hwy
Apt 1309
Baton Rouge, LA 70806-8175

Mailing address

6810 Jefferson Hwy
Apt 1309
Baton Rouge, LA 70806-8175

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412380800000",
    "number": "1184027195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 JEFFERSON HWY",
            "address_2": "APT 1309",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 JEFFERSON HWY",
            "address_2": "APT 1309",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068175",
            "telephone_number": "225-366-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA STATE PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-04",
        "last_updated": "2014-10-04",
        "status": "A",
        "authorized_official_last_name": "JEIDER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "225-366-7126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2014; 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.