Caleb Bloomfield
Individual provider Active NPI Behavior Technician · New Orleans, LA
NPI 1346792801 · NPPES record last updated Nov 1, 2016
Key facts
- NPI
- 1346792801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 201 Saint Charles Ave Ste 2500
New Orleans, LA 70170-2500 - Phone
- (504) 582-1416
- NPI assigned
- Nov 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
201 Saint Charles Ave Ste 2500
New Orleans, LA 70170-2500
Mailing address
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
NPI Registry JSON
{
"created_epoch": "1477958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1346792801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FAIRWAY DR STE 102",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SAINT CHARLES AVE STE 2500",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701702500",
"telephone_number": "504-582-1416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOMFIELD",
"first_name": "CALEB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-01",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
- Blondies Pantry LLC
- Bloom Behavioral Health L.L.C.
- Bloom in Nola, LLC
- Bloom Therapy Group LLC
- Laura Bloom
- Alia Blossomgame
- Catherine Blouin
- Kulicia Hubbard Blount
- Leah Michelle Blowes
- Blue Bayou Services Group Inc
All providers in New Orleans, LA · Behavior Technician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.