Organization Active NPI

Cognitive Development

  • Case Management Agency
  • Tallulah, LA
National Provider Identifier
1407504491
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COGNITIVE DEVELOPMENT
Practice address
1705 Felicia Ave
Tallulah, LA 71282-8203
Phone
(318) 974-1232
NPI assigned
Mar 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Brandi Lyshett Bell
Title
MHP
Phone
(318) 341-4899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1705 Felicia Ave
Tallulah, LA 71282-8203

Mailing address

1705 Felicia Ave
Tallulah, LA 71282-8203

Other names 2

  • COGNITIVE DEVELOPMENT Doing business as
  • Seaside Former legal business name

National Provider Directory

National Provider Directory

Locations

1705 Felicia Ave
Tallulah, LA 71282
Phone (318) 574-1232

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1407504491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 FELICIA AVE",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712828203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 FELICIA AVE",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712828203",
            "telephone_number": "318-974-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "LYSHETT",
        "authorized_official_title_or_position": "MHP",
        "authorized_official_telephone_number": "318-341-4899"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COGNITIVE DEVELOPMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seaside",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seaside",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tallulah, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.