Individual provider Active NPI

Lawrence Dilks, PHD

  • Clinical Neuropsychologist
  • Sulphur, LA
National Provider Identifier
1497969133
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
386 Issued in LA
Practice address
2500 Maplewood Dr Ste 1
Sulphur, LA 70663-6100
Phone
(337) 533-8035
Fax
(337) 625-6968
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 386 LA
Clinical Neuropsychologist 103G00000X 386 LA Primary

Addresses

Primary practice location

2500 Maplewood Dr Ste 1
Sulphur, LA 70663-6100

Mailing address

2500 Maplewood Dr Ste 1
Sulphur, LA 70663-6100
Phone (337) 533-8035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
386LAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Clinic LLC Clinical CurrentSince Sep 20, 2022 Accepting new patients
Psychotherapy Clinic LLC Clinical PastSince Sep 20, 2022 Accepting new patients

Locations

2500 Maplewood Dr
Ste 1
Sulphur, LA 70663
Phone (337) 533-8035

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1497969133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MAPLEWOOD DR STE 1",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636100",
            "telephone_number": "337-533-8035",
            "fax_number": "337-625-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MAPLEWOOD DR STE 1",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636100",
            "telephone_number": "337-533-8035",
            "fax_number": "337-625-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILKS",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "386",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "LA",
            "license": "386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.