NPIMap

Organization Active NPI

Epiphany Healthcare of Hammond

  • Addiction Psychiatry Physician
  • Hammond, LA
National Provider Identifier
1477041630
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
2203783830 Issued in LA
Legal business name
EPIPHANY HEALTHCARE OF HAMMOND
Practice address
906 CM Fagan Drive BLDG a Ste 6a
Hammond, LA 70403
Phone
(985) 956-7370
Fax
(985) 956-7371
NPI assigned
Apr 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Christopher Moore, CEO
Title
Executive Director
Phone
(985) 222-4050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0802X 2203783830 LA Primary

Addresses

Primary practice location

906 CM Fagan Drive BLDG a Ste 6a
Hammond, LA 70403

Mailing address

906 CM Fagan Drive BLDG a Ste 6a
Hammond, LA 70403
Phone (985) 222-4050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1477041630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 CM FAGAN DRIVE BLDG A STE 6A",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-222-4050",
            "fax_number": "985-956-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 CM FAGAN DRIVE BLDG A STE 6A",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-956-7370",
            "fax_number": "985-956-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY HEALTHCARE OF HAMMOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "985-222-4050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "LA",
            "license": "2203783830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.