NPIMap

Organization Active NPI

Southeast Neuroscience Center, LLC

  • Medical Specialty Clinic/Center
  • Houma, LA
National Provider Identifier
1366820367
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
SOUTHEAST NEUROSCIENCE CENTER, LLC
Practice address
8120 Main St
Suite 400
Houma, LA 70360-3403
Phone
(985) 917-3007
Fax
(985) 917-3010
NPI assigned
May 11, 2015
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Ms. Stacy Henry
Title
Practice Administrator
Phone
(985) 917-3007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

8120 Main St
Suite 400
Houma, LA 70360-3403

Mailing address

PO Box 4051
Houma, LA 70361-4051
Phone (985) 917-3001

National Provider Directory

National Provider Directory
Tax ID family
Southeast Neuroscience Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1366820367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4051",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703614051",
            "telephone_number": "985-917-3001",
            "fax_number": "985-917-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 MAIN ST",
            "address_2": "SUITE 400",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603403",
            "telephone_number": "985-917-3007",
            "fax_number": "985-917-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST NEUROSCIENCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "985-917-3007",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.