NPIMap

Organization Active NPI

Bianchini-Bokelberg, LLC

  • Clinical Child & Adolescent Psychologist
  • Metairie, LA
National Provider Identifier
1205154580
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
1048 Issued in LA
Legal business name
BIANCHINI-BOKELBERG, LLC
Practice address
3939 Houma Blvd
Ste 223
Metairie, LA 70006-2931
Phone
(504) 780-1702
Fax
(504) 780-1705
NPI assigned
May 11, 2010
Last updated
May 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Carissa L Bokelberg, PSY.D.NPI 1255529798
Title
Member
Phone
(504) 780-1702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 1048 LA Primary

Addresses

Primary practice location

3939 Houma Blvd
Ste 223
Metairie, LA 70006-2931

Mailing address

3939 Houma Blvd
Ste 223
Metairie, LA 70006-2931
Phone (504) 780-1702

National Provider Directory

National Provider Directory

Locations

4640 S Carrollton Ave
Ste 235
New Orleans, LA 70119

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1205154580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "STE 223",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062931",
            "telephone_number": "504-780-1702",
            "fax_number": "504-780-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "STE 223",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062931",
            "telephone_number": "504-780-1702",
            "fax_number": "504-780-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIANCHINI-BOKELBERG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "BOKELBERG",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "504-780-1702",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "LA",
            "license": "1048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.