Organization Active NPI

Louisiana Youth Enhanced Services

  • Child & Adolescent Psychiatry Physician
  • New Orleans, LA
National Provider Identifier
1205031044
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD.09289R Issued in LA
Legal business name
LOUISIANA YOUTH ENHANCED SERVICES
Practice address
8 Versailles Blvd
New Orleans, LA 70125-4114
Phone
(504) 866-7576
NPI assigned
Jun 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kawana Ripoll, LCSW
Title
Associate Clinical Director
Phone
(504) 896-2636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD.09289R LA Primary

Addresses

Primary practice location

8 Versailles Blvd
New Orleans, LA 70125-4114

Mailing address

210 State St
Cottage #4
New Orleans, LA 70118-5735
Phone (504) 896-2636

National Provider Directory

National Provider Directory

Locations

210 State St
#4
New Orleans, LA 70118
Phone (504) 896-2636

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205031044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 STATE ST",
            "address_2": "COTTAGE #4",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185735",
            "telephone_number": "504-896-2636",
            "fax_number": "504-896-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 VERSAILLES BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701254114",
            "telephone_number": "504-866-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA YOUTH ENHANCED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIPOLL",
        "authorized_official_first_name": "KAWANA",
        "authorized_official_title_or_position": "ASSOCIATE CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "504-896-2636",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "LA",
            "license": "MD.09289R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.