John Truman Fanning, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

468 Issued in LA

Practice address

4440 Canal Street
New Orleans, LA 70119-6021

Phone

(504) 421-0730

Fax

(888) 959-6762

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JNB-Psychology, LLCGroup PAC ID 0143589234, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• JNB-Psychology, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Metairie, LA
  • NPI 1346751369
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1508072216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 PECAN GROVE LN",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701211130",
            "telephone_number": "504-421-0730",
            "fax_number": "888-959-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 CANAL STREET",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196021",
            "telephone_number": "504-421-0730",
            "fax_number": "888-959-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNING",
        "first_name": "JOHN",
        "middle_name": "TRUMAN",
        "name_prefix": "Mr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "LA",
            "license": "468",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1552836",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Therapy Institute of Greater New Orleans, LLC
• Nicole Fanatico
• Alvin Fandrich, PHYSICAL THERAPIST
• Yuan Fang, MD
• Fannie C Williams Charter School
• Sarah F Fant, PA-C
• Fantastic Healthcare LLC
• Farere Dyer, M.D., Apmc
• Charit Ann Fares, M.D.
• Hassan A Fares, M.D.

• Clinical Psychologist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Clinical Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.