Active NPI
Blanche C Juguilon Havas, MD
- Psychiatry Physician
- Biloxi, MS
National Provider Identifier
1437375177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 11877
- Practice address
- 180B Debuys Rd
Ste 104
Biloxi, MS 39531 - Phone
- (228) 388-7989
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 11877 | MS | Primary |
| Psychiatry Physician | 2084P0800X | 16183 MD | DC |
Addresses
Primary practice location
180B Debuys Rd
Ste 104
Biloxi, MS 39531
Mailing address
180B Debuys Rd
Ste 104
Biloxi, MS 39531
Phone (228) 388-7989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00019142 | Medicaid | MS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16183 MD | DC | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437375177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180B DEBUYS RD",
"address_2": "STE 104",
"city": "BILOXI",
"state": "MS",
"postal_code": "39531",
"telephone_number": "228-388-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180B DEBUYS RD",
"address_2": "STE 104",
"city": "BILOXI",
"state": "MS",
"postal_code": "39531",
"telephone_number": "228-388-7989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUGUILON HAVAS",
"first_name": "BLANCHE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MS",
"license": "11877",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "16183 MD",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00019142",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.