Gulf South Psychiatry, LLC

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

MD10912R Issued in LA

Legal business name

GULF SOUTH PSYCHIATRY, LLC

Practice address

1924 Corporate Square Dr
Suite D
Slidell, LA 70458-3164

Phone

(985) 781-0548

Fax

(985) 781-4319

NPI assigned

Feb 7, 2011

Last updated

Feb 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Harminder S Mallik, MDNPI 1336209238

Title

President

Phone

(985) 781-0548

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harminder S Mallik, MD

  • Psychiatry Physician
  • New Orleans, LA
  • NPI 1336209238
  Medicare reassignment Authorized official
• Aaron Jeffrey Gloth, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New Orleans, LA
  • NPI 1518687482
  Medicare reassignment NPD
• Lena Maria Mason, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1396299368
  Medicare reassignment NPD
• Rosalie E Richard, APRN BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Abita Springs, LA
  • NPI 1770675993
  Medicare reassignment NPD
• Nyla Gutekunst

  • Professional Counselor
  • Covington, LA
  • NPI 1356898597
  NPD (past)
• Balminder S Mangat, MD

  • Psychiatry Physician
  • Slidell, LA
  • NPI 1114974151
  NPD (past)
• Robert J Muller, M.D.

  • Gynecology Physician
  • Slidell, LA
  • NPI 1326067828
  NPD (past)

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1568768679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 CORPORATE SQUARE DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583164",
            "telephone_number": "985-781-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 CORPORATE SQUARE DR",
            "address_2": "SUITE D",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583164",
            "telephone_number": "985-781-0548",
            "fax_number": "985-781-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF SOUTH PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "MALLIK",
        "authorized_official_first_name": "HARMINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-781-0548",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "LA",
            "license": "MD10912R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE10912R",
            "identifier": "MD10912R",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Guidry
• Derek Guidry, DP, DPT
• Linda D Guidry
• Sheryl Bernette Guitroz, PLPC, MA
• Gulf Coast Rheumatology
• Gulfcoast Pain Institute, a.P.M.C. (GulfCoast Pain Institute)
• Jennifer L. Gunderman, O.T.-CHT
• Samantha Gunn
• Tylasha Gusman
• Chad Michael Gustafson, DDS

• Geriatric Psychiatry Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Geriatric Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.