Individual provider Active NPI

Andrew Magers, PSYD

  • Clinical Psychologist
  • Prairieville, LA
National Provider Identifier
1235649542
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1431 Issued in LA
Practice address
17534 Old Jefferson Hwy Ste B2
Prairieville, LA 70769-3978
Phone
(225) 692-4113
NPI assigned
Oct 2, 2017
Last updated
Oct 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1431 LA Primary

Addresses

Primary practice location

17534 Old Jefferson Hwy Ste B2
Prairieville, LA 70769-3978

Mailing address

17534 Old Jefferson Hwy Ste B2
Prairieville, LA 70769-3978
Phone (225) 692-4113

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

State licenses

LicenseStateTypeSpecialty
1431LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Renewal Health Group CurrentSince Sep 5, 2023 Accepting new patients
The Well Clinic, LLC Clinical Past Accepting new patients

Locations

745 Highway 51
Ste Z
Madison, MS 39110
Phone (662) 532-2255

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1235649542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17534 OLD JEFFERSON HWY STE B2",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693978",
            "telephone_number": "225-692-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17534 OLD JEFFERSON HWY STE B2",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693978",
            "telephone_number": "225-692-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGERS",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "1431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.