NPIMap

Organization Active NPI

Florida Parishes Human Services Authority

Doing business as FPHSA Bogalusa Clinic

  • Community/Behavioral Health Agency
  • Bogalusa, LA
National Provider Identifier
1447689930
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
131 Issued in LA
Legal business name
FLORIDA PARISHES HUMAN SERVICES AUTHORITY
Doing business as
FPHSA Bogalusa Clinic
Practice address
619 Willis Ave
Bogalusa, LA 70427-3001
Phone
(985) 732-6610
Fax
(985) 732-6626
NPI assigned
Nov 5, 2013
Last updated
Feb 16, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA PARISHES HUMAN SERVICES AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Authorized official

Name
Mrs. Melanie WatkinsNPI 1821449802
Title
Executive Director
Phone
(985) 543-4333

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
Community/Behavioral Health Agency 251S00000X 131 LA Primary

Addresses

Primary practice location

619 Willis Ave
Bogalusa, LA 70427-3001

Mailing address

619 Willis Ave
Bogalusa, LA 70427-3001
Phone (985) 732-6610

Other identifiers 1

IdentifierTypeStateIssuer
1710091MedicaidLA

Other names 1

  • FPHSA Bogalusa Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150408001452 LA Part B Supplier - Clinic/Group Practice 0446578215 Receives reassigned benefits from 69 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Slidell, LA; Denham Springs, LA; Mandeville, LA; Bogalusa, LA; Hammond, LA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Fphsa Washington Addictive Disorders Clinic11 organizations share this tax ID, including this one
Part of
Fphsa Washington Addictive Disorders Clinic

Other organizations with this tax ID 10

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

Locations

400 Georgia Ave
Ste 1
Bogalusa, LA 70427
Phone (985) 732-6610

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1447689930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 WILLIS AVE",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273001",
            "telephone_number": "985-732-6610",
            "fax_number": "985-732-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 WILLIS AVE",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273001",
            "telephone_number": "985-732-6610",
            "fax_number": "985-732-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PARISHES HUMAN SERVICES AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA PARISHES HUMAN SERVICES AUTHORITY",
        "enumeration_date": "2013-11-05",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "985-543-4333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710091",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FPHSA Bogalusa Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.