Shanmugan Shantha, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD.15098R Issued in LA

Practice address

900 Wilkinson St
Mandeville, LA 70448-3533

Phone

(985) 624-4450

Fax

(985) 624-4451

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Parishes Human Services AuthorityGroup PAC ID 0446578215, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Florida Parishes Human Services Authority

  dba FPHSA Primary Care

  • Primary Care Clinic/Center
  • Hammond, LA
  • NPI 1679128292
  Medicare reassignment Care Compare group NPD
• Therapeutic Partners,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Covington, LA
  • NPI 1528330537
  Medicare reassignment NPD
• Florida Parishes Human Services Authority

  dba FPHSA Hammond Clinic

  • Community/Behavioral Health Agency
  • Hammond, LA
  • NPI 1578992079
  NPD

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1255341798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7153 EDGEWATER DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717431",
            "telephone_number": "504-914-2908",
            "fax_number": "504-349-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WILKINSON ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483533",
            "telephone_number": "985-624-4450",
            "fax_number": "985-624-4451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Wichers Dr",
            "address_purpose": "LOCATION",
            "city": "Marrero",
            "state": "LA",
            "postal_code": "70072",
            "country_code": "US",
            "telephone_number": "504-949-1660",
            "fax_number": "504-398-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANTHA",
        "first_name": "SHANMUGAN",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-01-31",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "LA",
            "license": "MD150R",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.15098R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1422029",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serene Health & Wellness LLC
• Heather Ducote Seymour, MCD SLP-CCC
• Mary L Seymour, MD
• Sarah Shaffer
• Melissa Shannon
• Andrea I Sharp
• NE-Juan Shaul
• Amani Sheikh
• Betty Stevenson Sheridan, CPHT
• Gabrielle Catherine Sheridan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.