Active NPI
Terry J Lain, MD
- Behavioral Neurology & Neuropsychiatry Physician
- New Orleans, LA
National Provider Identifier
1295751006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician
- License
- MD-201793
- Practice address
- 5610 Read Blvd
New Orleans, LA 70127-3106 - Phone
- (504) 241-8188
- Fax
- (504) 264-5941
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | MD.201793 | LA | |
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | MD-201793 | LA | Primary |
Addresses
Primary practice location
5610 Read Blvd
New Orleans, LA 70127-3106
Mailing address
5610 Read Blvd.
New Orleans, LA 70127-3413
Phone (504) 241-8188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1094544 | Medicaid | LA | |
| 154925001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090507000015 | LA | Practitioner - Psychiatry | 6800862319 | Practice locations: New Orleans, LA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-201793 | LA | MD | Behavioral Neurology & Neuropsychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrity Behavioral Health LLC | Current | Accepting new patients | |
| Integrity Behavioral Management, LLC | Current | Accepting new patients | |
| Living Hope Medical Services LLC | Psychiatry | Past | Accepting new patients |
| Living Hope Institute | Past | Accepting new patients |
Locations
5610 Read Blvd
New Orleans, LA 70127
Phone (504) 241-8188
9235 Lake Forest Blvd
Ste A
New Orleans, LA 70127
Phone (504) 241-8188
Organizations & group practices 4
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.
-
- Psychiatric Hospital
- New Orleans, LA
- NPI 1780125534
-
- Substance Abuse Rehabilitation Facility
- New Orleans, LA
- NPI 1437751807
-
- Social Worker
- Little Rock, AR
- NPI 1821103334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1295751006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5610 READ BLVD.",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701273413",
"telephone_number": "504-241-8188",
"fax_number": "504-264-5941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5610 READ BLVD",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701273106",
"telephone_number": "504-241-8188",
"fax_number": "504-264-5941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAIN",
"first_name": "TERRY",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2023-03-07",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "LA",
"license": "MD.201793",
"primary": false
},
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "LA",
"license": "MD-201793",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1094544",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154925001",
"state": "AR"
}
],
"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 Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.