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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 1, 2016.

{
    "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

All providers in New Orleans, LA · Behavior Technician in Louisiana

Sources for this page

Verify at the official NPI Registry.