Active NPI
RTC Providers, Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Orleans, LA
National Provider Identifier
1255366571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- RTC PROVIDERS, INC
- Practice address
- 330 N Jefferson Davis Pkwy
New Orleans, LA 70119-5312 - Phone
- (504) 483-0415
- Fax
- (504) 483-0416
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cheronne Smith
- Title
- Ceo
- Phone
- (504) 483-0415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
330 N Jefferson Davis Pkwy
New Orleans, LA 70119-5312
Mailing address
330 N Jefferson Davis Pkwy
New Orleans, LA 70119-5312
Phone (504) 483-0415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1556891 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200009600000",
"number": "1255366571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 N JEFFERSON DAVIS PKWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701195312",
"telephone_number": "504-483-0415",
"fax_number": "504-483-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 N JEFFERSON DAVIS PKWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701195312",
"telephone_number": "504-483-0415",
"fax_number": "504-483-0416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RTC PROVIDERS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2008-01-11",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "CHERONNE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "504-483-0415",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1556891",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.