NPIMap

Organization Active NPI

Thibodaux Addictive Disorders Clinic

  • Community/Behavioral Health Agency
  • Thibodaux, LA
National Provider Identifier
1386912731
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THIBODAUX ADDICTIVE DISORDERS CLINIC
Practice address
303 Hickory St
Thibodaux, LA 70301-2011
Phone
(985) 447-0851
NPI assigned
Dec 13, 2011
Last updated
Dec 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Mrs. Bernadette Fields
Title
Clinic Manager
Phone
(985) 447-0851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

303 Hickory St
Thibodaux, LA 70301-2011

Mailing address

303 Hickory St
Thibodaux, LA 70301-2011
Phone (985) 447-0851

National Provider Directory

National Provider Directory
Tax ID family
Florida Parishes Human Services Authority Fontainebleau TX Center31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1386912731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 HICKORY ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012011",
            "telephone_number": "985-447-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 HICKORY ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012011",
            "telephone_number": "985-447-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIBODAUX ADDICTIVE DISORDERS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "985-447-0851",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.