NPIMap

Organization Active NPI

Louisiana Autism Center

  • Psychologist
  • Ball, LA
National Provider Identifier
1447521455
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
928 Issued in LA
Legal business name
LOUISIANA AUTISM CENTER
Practice address
100 Gayven Dr
Ball, LA 71405-4903
Phone
(318) 641-0444
NPI assigned
Jan 23, 2012
Last updated
Jan 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
George Haag, PSY.D.NPI 1568492569
Title
President
Phone
(318) 641-0444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 928 LA Primary

Addresses

Primary practice location

100 Gayven Dr
Ball, LA 71405-4903

Mailing address

100 Gayven Dr
Ball, LA 71405-4903

National Provider Directory

National Provider Directory

Locations

100 Gayven Dr
Ball, LA 71405
Phone (318) 641-0444

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1447521455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GAYVEN DR",
            "city": "BALL",
            "state": "LA",
            "postal_code": "714054903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GAYVEN DR",
            "city": "BALL",
            "state": "LA",
            "postal_code": "714054903",
            "telephone_number": "318-641-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "HAAG",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-641-0444",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "LA",
            "license": "928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ball, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.