Shalom Clinic for Children Apmc

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

SHALOM CLINIC FOR CHILDREN APMC

Doing business as

Behavioral Health Services @Shalom Clinic for Children APMC

Practice address

117 South Dr
Natchitoches, LA 71457-5039

Phone

(318) 356-7211

Fax

(318) 356-7226

NPI assigned

Sep 22, 2020

Last updated

Sep 22, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

SHALOM CLINIC FOR CHILDREN, APMC.As reported in NPPES

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

Authorized official

Name

Ovayoza I Adeleye, MDNPI 1538150263

Title

Psychiatrist

Phone

(318) 356-7211

Specialties & licenses 2

Addresses

Other names 1

• Behavioral Health Services @Shalom Clinic for Children APMC Doing business as

Electronic endpoints 1

Part of

Shalom Clinic for Children

Interoperability endpoints

• Direct secure messaging: bhs@shalomclinic.com

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Shalom Clinic for Children Apmc

  • Pediatrics Physician
  • Natchitoches, LA
  • NPI 1760545867
  NPPES parent name

Practitioners 1

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.

• Ovayoza I Adeleye, MD

  • Psychiatry Physician
  • Natchitoches, LA
  • NPI 1538150263
  Authorized official Same address or phone

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1356957518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SOUTH DR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575039",
            "telephone_number": "318-356-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SOUTH DR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575039",
            "telephone_number": "318-356-7211",
            "fax_number": "318-356-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM CLINIC FOR CHILDREN APMC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHALOM CLINIC FOR CHILDREN, APMC.",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "ADELEYE",
        "authorized_official_first_name": "OVAYOZA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "318-356-7211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bhs@shalomclinic.com",
            "affiliation": "N",
            "endpointDescription": "secure email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "117 South Dr",
            "city": "Natchitoches",
            "state": "LA",
            "country_code": "US",
            "postal_code": "714575039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Behavioral Health Services @Shalom Clinic for Children APMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Child & Adolescent Psychiatry Physician in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Child & Adolescent Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.