Organization Active NPI

JNB-Psychology, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Metairie, LA
National Provider Identifier
1346751369
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JNB-PSYCHOLOGY, LLC
Practice address
2901 N I 10 Service Rd E Ste 300
Metairie, LA 70002-6137
Phone
(504) 780-1702
NPI assigned
Oct 17, 2017
Last updated
Oct 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Authorized official

Name
Dr. Kevin J. Bianchini, PH.D.NPI 1780729939
Title
Managing Member
Phone
(504) 780-1702

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

2901 N I 10 Service Rd E Ste 300
Metairie, LA 70002-6137

Mailing address

2901 N I 10 Service Rd E Ste 300
Metairie, LA 70002-6137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180118000386 LA Part B Supplier - Clinic/Group Practice 0143589234 Receives reassigned benefits from 2 practitioners
Practice locations: Metairie, LA

National Provider Directory

National Provider Directory

Locations

4050 Lonesome Rd
#A
Mandeville, LA 70448
Phone (985) 246-2600

1101 Audubon Ave
Ste N1B
Thibodaux, LA 70301

Practitioners & affiliated clinicians

Practitioners 3

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": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1346751369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N I 10 SERVICE RD E STE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 N I 10 SERVICE RD E STE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026137",
            "telephone_number": "504-780-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNB-PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "BIANCHINI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "504-780-1702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.