Northshore Behavioral Health, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

10838R Issued in LA

Legal business name

NORTHSHORE BEHAVIORAL HEALTH, LLC

Practice address

107 Highland Park PLZ
Covington, LA 70433-7128

Phone

(985) 892-3178

NPI assigned

Jul 5, 2006

Last updated

Jul 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Michael Murdock, M.D.NPI 1508830316

Title

Owner

Phone

(504) 237-8673

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• David Michael Murdock, M.D.

  • Psychiatry Physician
  • Lake Charles, LA
  • NPI 1508830316
  NPD (past) Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1235160680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HIGHLAND PARK PLZ",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337128",
            "telephone_number": "985-892-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HIGHLAND PARK PLZ",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337128",
            "telephone_number": "985-892-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "MURDOCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-237-8673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "10838R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1480851",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Northland Hearing Centers, Inc. (Audible Hearing Healthcare)
• Northshore Counseling and Wellness LLC
• Northshore Family Medicine, LLC
• Northshore Family Resource Center LLC (Claude Guillotte)
• Northshore Interventional Pain Management (Premier Pain Center)
• Northshore Interventional Pain Management, Apmc

• Psychiatry Physician in Covington, LA
• Providers in Covington, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.