J L L MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME79504 Issued in FL

Legal business name

J L L MD INC

Practice address

1813 Thomas Dr
Ste 6
Panama City Beach, FL 32408-5834

Phone

(850) 249-7400

Fax

(850) 249-7424

NPI assigned

Nov 22, 2006

Last updated

Jun 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John L Laubenthal, M.D.NPI 1528064458

Title

Psychiatrist

Phone

(850) 249-7400

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• John L Laubenthal, M.D.

  • Psychiatry Physician
  • Panama City Beach, FL
  • NPI 1528064458
  Authorized official Same address or phone
• Kelly C David, LMHC

  • Psychologist
  • Panama City Beach, FL
  • NPI 1851376644
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1356416374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28480",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324118480",
            "telephone_number": "850-249-7400",
            "fax_number": "850-249-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 THOMAS DR",
            "address_2": "STE 6",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324085834",
            "telephone_number": "850-249-7400",
            "fax_number": "850-249-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J L L MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "LAUBENTHAL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "850-249-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME79504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "61596Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liza Danielle Ingram, DPT
• Inspire Wellness Services LLC
• Shea Kristen Irvine
• Sheyda Isazadeh-Khaylani, DC
• J Grant Shuflitowski MD PA Gulf View Family Medical Center
• Deaundra Brisha Jackson, M.A
• Heather Jackson, LMHC
• Renese Jackson, PHARMD
• Thomas Albert Jacobson, M.D.
• Timothy Scott Jarrett

• Psychiatry Physician in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.