Dr Concepcion & Associates Therapeutic Ctr

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

11294R Issued in LA

Legal business name

DR CONCEPCION & ASSOCIATES THERAPEUTIC CTR

Practice address

1131 Rue Du Belier
Lafayette, LA 70506-6532

Phone

(337) 981-1400

Fax

(337) 981-6611

NPI assigned

May 12, 2008

Last updated

Mar 10, 2014By 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

Mrs. Violeta Concepcion, CFO

Title

Chief Financial Officer

Phone

(337) 981-1400

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 4

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.

• Edgardo R Concepcion, MD

  • Psychiatry Physician
  • Lafayette, LA
  • NPI 1326123415
  Medicare reassignment NPD
• Lauren Dupuis Bandy, PA-C

  • Physician Assistant
  • Abbeville, LA
  • NPI 1508347469
  Medicare reassignment
• Cindy Richards, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
  • NPI 1194768515
  NPD (past)
• Denise Graham, MD

  • Psychiatry Physician
  • Clinton Township, MI
  • NPI 1689609737
  NPD (past)

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1245407931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 RUE DU BELIER",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066532",
            "telephone_number": "337-981-1400",
            "fax_number": "337-981-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 RUE DU BELIER",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066532",
            "telephone_number": "337-981-1400",
            "fax_number": "337-981-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CONCEPCION & ASSOCIATES THERAPEUTIC CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "CONCEPCION",
        "authorized_official_first_name": "VIOLETA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "337-981-1400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "11294R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1664448",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "2084P0800X",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "11294R",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.