Active NPI
Kathryn Leigh Nathan, PH.D., LLC
- Clinical Psychologist
- New Orleans, LA
National Provider Identifier
1255476537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 012124
- Practice address
- 1426 Amelia St
New Orleans, LA 70115-3622 - Phone
- (504) 889-8831
- Fax
- (504) 891-1355
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 012124 | LA | Primary |
Addresses
Primary practice location
1426 Amelia St
New Orleans, LA 70115-3622
Mailing address
1426 Amelia St
New Orleans, LA 70115-3622
Phone (504) 889-8831
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012124 | LA | MD | Clinical Psychologist |
| 921 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255476537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 AMELIA ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701153622",
"telephone_number": "504-889-8831",
"fax_number": "504-891-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1426 AMELIA ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701153622",
"telephone_number": "504-889-8831",
"fax_number": "504-891-1355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHAN",
"first_name": "KATHRYN",
"middle_name": "LEIGH",
"credential": "PH.D., LLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "012124",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.