Active NPI
Georgia Leigh Shaheen, PH.D.
- Clinical Psychologist
- Baton Rouge, LA
National Provider Identifier
1215695689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1570
- Practice address
- 10211 Siegen LN Ste 2B
Baton Rouge, LA 70810-4988 - Phone
- (225) 767-3121
- NPI assigned
- Dec 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 1570 | LA | Primary |
Addresses
Primary practice location
10211 Siegen LN Ste 2B
Baton Rouge, LA 70810-4988
Mailing address
1516 Sugar Cane LN
Baton Rouge, LA 70810-7886
Phone (225) 202-1296
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 |
|---|---|---|---|
| 1570 | LA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1215695689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 SUGAR CANE LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708107886",
"telephone_number": "225-202-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10211 SIEGEN LN STE 2B",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708104988",
"telephone_number": "225-767-3121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHEEN",
"first_name": "GEORGIA",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-02",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "1570",
"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 Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.