John L Laubenthal, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME79504 Issued in FL

Practice address

2226 Thomas Dr
Panama City Beach, FL 32408-5814

Phone

(850) 249-7400

Fax

(850) 249-7424

NPI assigned

Jun 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 22, 2015 through Jun 22, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• David, Kelly

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Panama City Beach, FL
  • NPI 1144842527

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1528064458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28480",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324118480",
            "telephone_number": "850-249-7400",
            "fax_number": "850-249-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 THOMAS DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324085814",
            "telephone_number": "850-249-7400",
            "fax_number": "850-249-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUBENTHAL",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME79504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF FL: INDIVID AND GRP",
            "identifier": "61596, 38589",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE NUMBER",
            "identifier": "ME79504",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ladoka Health LLC
• Maria Renee Lahti, M.D.
• Hanna Lambe
• Michelle J Lambert, RCSWI
• Linda Jan Lancaster, M.D.
• Kaitlyn Leach
• Jase Thomas Ledman, DPT
• Brittnay Lee
• Ashley Ann Leidner
• April Janis Niccole Leirer

• Psychiatry Physician in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.