Jefferson Parish Servie Authority

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3130 Issued in LA

Legal business name

JEFFERSON PARISH SERVIE AUTHORITY

Practice address

2400 Edenborn Ave
Metairie, LA 70001-1817

Phone

(504) 838-5257

NPI assigned

Jun 7, 2010

Organization subpart

No

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

Authorized official

Name

Mikal Matton

Title

Therapist

Phone

(504) 838-5257

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1417277922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 EDENBORN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 EDENBORN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011817",
            "telephone_number": "504-838-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON PARISH SERVIE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "MATTON",
        "authorized_official_first_name": "MIKAL",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "504-838-5257"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "3130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefferson Medical Group, LLC
• Jefferson Neurological Associates, Apmc
• Jefferson OB GYN Associates
• Jefferson Orthopedics Inc
• Jefferson Parish School Based Health Center
• Jefferson Pathology LLC
• Jefferson Psychiatric Associates
• Jefferson Psychiatric Associates LLC
• Jefferson Pulmonary Associates
• Jefferson Radiation Oncology, LLC

• Community/Behavioral Health Agency in Metairie, LA
• Providers in Metairie, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.