Department of Health and Hospital

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

119 Issued in LA

Legal business name

DEPARTMENT OF HEALTH AND HOSPITAL

Practice address

900 Wilkinson St
Mandeville, LA 70448-3533

Phone

(985) 624-4450

Fax

(985) 624-4461

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kathleen Paul

Title

Facility Manager

Phone

(985) 624-4450

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lurline Smith Mental Health Clinic Doing business as

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1215080478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WILKINSON ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483533",
            "telephone_number": "985-624-4450",
            "fax_number": "985-624-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WILKINSON ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483533",
            "telephone_number": "985-624-4450",
            "fax_number": "985-624-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH AND HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "FACILITY MANAGER",
        "authorized_official_telephone_number": "985-624-4450",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": "119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710181",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lurline Smith Mental Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rhett Delle, PHARMD
• Angela Culver Denicolo, MPT
• Mark Stephen Dennis, M.D.
• William H Dennis Jr., MD
• Department of Health & Hospitals
• Benjamin Derbes, D.C.
• James Joseph Derbes, DC
• Bernadette Derosier
• McKenzie Desandro, BA
• Ashlee Nicole Descant

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.