Southeast Louisiana Veterans Health Care System

Primary specialty

VA Clinic/CenterTaxonomy code 261QV0200X

License

600 Issued in LA

Legal business name

SOUTHEAST LOUISIANA VETERANS HEALTH CARE SYSTEM

Doing business as

Hammond Outpatient Clinic

Practice address

1101 S Morrison Blvd
Hammond, LA 70403-5409

Phone

(985) 340-7816

Fax

(985) 340-3834

NPI assigned

Jun 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James T. Russell, PH.D.

Title

Staff Clinical Psychologist

Phone

(985) 340-7816

Specialties & licenses 1

Addresses

Other names 1

• Hammond Outpatient Clinic Doing business as

Locations

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457396095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S MORRISON BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035409",
            "telephone_number": "985-340-7816",
            "fax_number": "985-340-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S MORRISON BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035409",
            "telephone_number": "985-340-7816",
            "fax_number": "985-340-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST LOUISIANA VETERANS HEALTH CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "STAFF CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "985-340-7816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "LA",
            "license": "600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hammond Outpatient Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southeast Community Health Systems
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• Southeast Family Medical Practice
• Southeast Louisiana Ahec Foundation, Inc
• Southeast Louisiana Area Health Education Foundation, Inc.
• Southeast Menatal Health
• Southeast Mental Health LLC
• Southeastern Louisiana Univerisity (SLU Sports Medicine)
• Southeastern Louisiana University
• Southern Grace Hospice North LLC

• VA Clinic/Center in Hammond, LA
• Providers in Hammond, LA by specialty
• VA Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.