NPIMap

Organization Active NPI

Patricia Cornelious PHD

  • Clinical Psychologist
  • Baton Rouge, LA
National Provider Identifier
1457771289
Registry record updated Apr 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1273 Issued in LA
Legal business name
PATRICIA CORNELIOUS PHD
Practice address
9229 Bluebonnet Blvd
Ste. B
Baton Rouge, LA 70810-2808
Phone
(225) 766-7470
Fax
(225) 766-7473
NPI assigned
Apr 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2014

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

Authorized official

Name
Patricia Cornelious, PHDNPI 1811317647
Title
Owner
Phone
(636) 697-6405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1273 LA Primary

Addresses

Primary practice location

9229 Bluebonnet Blvd
Ste. B
Baton Rouge, LA 70810-2808

Mailing address

9229 Bluebonnet Blvd
Ste. B
Baton Rouge, LA 70810-2808
Phone (225) 766-7470

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397865600000",
    "number": "1457771289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 BLUEBONNET BLVD",
            "address_2": "STE. B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102808",
            "telephone_number": "225-766-7470",
            "fax_number": "225-766-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 BLUEBONNET BLVD",
            "address_2": "STE. B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102808",
            "telephone_number": "225-766-7470",
            "fax_number": "225-766-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA CORNELIOUS PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-19",
        "last_updated": "2014-04-19",
        "status": "A",
        "authorized_official_last_name": "CORNELIOUS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-697-6405",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "1273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2014; 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.