Active NPI
Lorette Marie Labataille, M.D.
- Psychiatry Physician
- Santa Rosa, CA
National Provider Identifier
1376728022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G24040
- Practice address
- 509 7TH St Ste 100
Santa Rosa, CA 95401-5297 - Phone
- (707) 568-1101
- Fax
- (707) 568-1103
- NPI assigned
- Dec 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G24040 | CA | Primary |
Addresses
Primary practice location
509 7TH St Ste 100
Santa Rosa, CA 95401-5297
Mailing address
509 7TH St Ste 100
Santa Rosa, CA 95401-5297
Phone (707) 568-1101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G240400 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Bay Behavioral Health, Inc. | Past | Accepting new patients | |
| Redwood Psychalliance | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Santa Rosa, CA
- NPI 1730440223
-
- Child & Adolescent Psychiatry Physician
- Santa Rosa, CA
- NPI 1427277722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514419200000",
"number": "1376728022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 7TH ST STE 100",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954015297",
"telephone_number": "707-568-1101",
"fax_number": "707-568-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 7TH ST STE 100",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954015297",
"telephone_number": "707-568-1101",
"fax_number": "707-568-1103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABATAILLE",
"first_name": "LORETTE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-31",
"last_updated": "2017-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G24040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G240400",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.