NPIMap

Organization Active NPI

Larry J. Benoit, PH.D., P.C.

  • Clinical Psychologist
  • Lafayette, LA
National Provider Identifier
1265573877
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
541 Issued in LA
Legal business name
LARRY J. BENOIT, PH.D., P.C.
Practice address
119 Caillouett PL
Lafayette, LA 70501-7807
Phone
(337) 234-4912
Fax
(337) 234-6064
NPI assigned
Feb 8, 2007
Last updated
Mar 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Dr. Larry J Benoit, PH.D.NPI 1316978935
Title
President
Phone
(337) 234-4912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 541 LA Primary

Addresses

Primary practice location

119 Caillouett PL
Lafayette, LA 70501-7807

Mailing address

119 Caillouett PL
Lafayette, LA 70501-7807
Phone (337) 234-4912

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1265573877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 CAILLOUETT PL",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705017807",
            "telephone_number": "337-234-4912",
            "fax_number": "337-234-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 CAILLOUETT PL",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705017807",
            "telephone_number": "337-234-4912",
            "fax_number": "337-234-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY J. BENOIT, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "BENOIT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-234-4912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.