Degan J Dansereau MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

024911 Issued in LA

Legal business name

DEGAN J DANSEREAU MD LLC

Practice address

3705 Coliseum St
New Orleans, LA 70115-3708

Phone

(504) 897-0201

Fax

(504) 891-5859

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Degan Dansereau, MDNPI 1700846458

Title

Owner

Phone

(504) 897-0201

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Degan Joseph Dansereau, M.D.

  • Psychiatry Physician
  • New Orleans, LA
  • NPI 1700846458
  Medicare reassignment NPD Authorized official
• John W. Bick, MD

  • Psychiatry Physician
  • New Orleans, LA
  • NPI 1134253784
  NPD (past)
• Bradley Landwehr, MD

  • Psychiatry Physician
  • New Orleans, LA
  • NPI 1114486370
  NPD (past)
• Christina Roux, MSW, LSCW

  • Clinical Social Worker
  • New Orleans, LA
  • NPI 1770774168
  NPD (past)
• Paul E Voorhies, LCSW

  • Clinical Social Worker
  • New Orleans, LA
  • NPI 1841410206
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202515200000",
    "number": "1295771897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 COLISEUM ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153708",
            "telephone_number": "504-897-0201",
            "fax_number": "504-891-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 COLISEUM ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153708",
            "telephone_number": "504-897-0201",
            "fax_number": "504-891-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEGAN J DANSEREAU MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-02-09",
        "status": "A",
        "authorized_official_last_name": "DANSEREAU",
        "authorized_official_first_name": "DEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-897-0201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "024911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1424056",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Li Defelice
• Franklin A Defelippo, CRNA
• Charmaine A Defillo, LMSW
• Darrin Defillo, BS
• Kristen Defreitas
• Degaulle Chiropractic Clinic Inc
• Alexander David Degenova, BS, MS, DDS
• Maitland Frilot Degenova, FNP
• Caroline Jane Degraw, MD
• Dwayne Anthony Degree Sr.

• Psychiatry Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.