NPIMap

Organization Active NPI

Shalom Clinic for Children Apmc

  • Child & Adolescent Psychiatry Physician
  • Natchitoches, LA
National Provider Identifier
1356957518
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
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
Organization subpart
Yes
Parent organization
SHALOM CLINIC FOR CHILDREN, APMC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Ovayoza I Adeleye, MD
Title
Psychiatrist
Phone
(318) 356-7211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

117 South Dr
Natchitoches, LA 71457-5039

Mailing address

117 South Dr
Natchitoches, LA 71457-5039
Phone (318) 356-7211

Other names 1

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bhs@shalomclinic.com Direct

National Provider Directory

National Provider Directory
Part of
Shalom Clin for Children Ap

Ownership & related parties

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.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Natchitoches, LA

Sources for this page

  • 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.