NPIMap

Organization Active NPI

Nola Psychological Services

  • Psychologist
  • New Orleans, LA
National Provider Identifier
1518226836
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1048 Issued in LA
Legal business name
NOLA PSYCHOLOGICAL SERVICES
Practice address
3909 Bienville St
Suite 102
New Orleans, LA 70119-5151
Phone
(504) 535-4372
Fax
(504) 273-1479
NPI assigned
May 7, 2012
Last updated
May 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Authorized official

Name
Dr. Carissa Bokelberg, PSY.D.
Title
Clinical Psychologist
Phone
(504) 486-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1048 LA Primary

Addresses

Primary practice location

3909 Bienville St
Suite 102
New Orleans, LA 70119-5151

Mailing address

3909 Bienville St
Suite 102
New Orleans, LA 70119-5151
Phone (504) 486-0020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1518226836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 BIENVILLE ST",
            "address_2": "SUITE 102",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195151",
            "telephone_number": "504-486-0020",
            "fax_number": "504-486-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 BIENVILLE ST",
            "address_2": "SUITE 102",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195151",
            "telephone_number": "504-535-4372",
            "fax_number": "504-273-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLA PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "BOKELBERG",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "504-486-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": "1048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.