Philip a Landry MD a Professional Medical Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

012300 Issued in LA

Legal business name

PHILIP A LANDRY MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

216 Robin LN
Opelousas, LA 70570-9149

Phone

(337) 942-5815

Fax

(337) 942-8004

NPI assigned

Mar 8, 2010

Organization subpart

No

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

Authorized official

Name

Philip A, Landry, MDNPI 1639218738

Title

Owner

Phone

(337) 942-5815

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Arnold Landry, MD

  • Psychiatry Physician
  • Opelousas, LA
  • NPI 1639218738
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1245553023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705710880",
            "telephone_number": "337-942-5815",
            "fax_number": "337-942-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 ROBIN LN",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705709149",
            "telephone_number": "337-942-5815",
            "fax_number": "337-942-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP A LANDRY MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A,",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-942-5815",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "012300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1178756",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PHC -Opelousas LP
• PHC-Opelousas LP
• PHC-Opelousas LP
• PHC-Opelousas LP
• PHC-Opelousas LP
• Brittnei Picard I, PA-C
• Dieadra Pickney Cains, RPH
• Carmen Juanita Pickney
• Andre' Louis Pinac III, M.D.
• Emily Venable Pitre, MS/SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.