Active NPI
Lawrence Stansberry IV
- Psychiatry Physician
- Gretna, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 309068
- Practice address
- 926 Amelia St
Gretna, LA 70053-5528 - Phone
- (504) 368-9787
- NPI assigned
- Apr 2, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 309068 | LA | Primary |
Addresses
Primary practice location
926 Amelia St
Gretna, LA 70053-5528
Mailing address
926 Amelia St
Gretna, LA 70053-5528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, DC, LA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Louisiana State University School of Medicine in New Orleans, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
150 Riverside Pkwy
Fredericksburg, VA 22406-1094
Phone (833) 351-8255
1775 I St NW
Suite 1150 Talkiatry
Washington, DC 20006-2435
Phone (833) 351-8255
3350 Ridgelake Dr
Suite 200
Metairie, LA 70002-3831
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 317096 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD Psychiatry Services PLLC | Psychiatry | Current | Accepting new patients |
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
Locations
1775 I St NW
Ste 1150
Washington, DC 20006
Phone (202) 313-7696
3350 Ridgelake Dr
Ste 200
Metairie, LA 70002
Phone (504) 434-0017
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
109 W 27th St
#55
New York, NY 10001
2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423
150 Riverside Pkwy
Ste 115
Fredericksburg, VA 22406
Phone (540) 530-5545
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| St. Margaret'S Daughters Home | Skilled nursing facility | Corporate Director Operational/Managerial Control |
Jul 1, 2019 Jul 1, 2019 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- New Orleans, LA
- NPI 1821006487
Corporate Director, Operational/Managerial Control
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- New York, NY
- NPI 1033750823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1225534076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 AMELIA ST",
"city": "GRETNA",
"state": "LA",
"postal_code": "700535528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 AMELIA ST",
"city": "GRETNA",
"state": "LA",
"postal_code": "700535528",
"telephone_number": "504-368-9787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANSBERRY",
"first_name": "LAWRENCE",
"name_suffix": "IV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-02",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "309068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.