Active NPI
Bianchini Northshore
- Clinical Neuropsychologist
- Metairie, LA
National Provider Identifier
1568852812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 685
- Legal business name
- BIANCHINI NORTHSHORE
- Practice address
- 2901 N I 10 Service Rd E
Ste 300
Metairie, LA 70002-6137 - Phone
- (504) 780-1702
- Fax
- (504) 780-1705
- NPI assigned
- Jan 26, 2015
- Last updated
- Jan 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin J Bianchini, PHD
- Title
- Manager
- Phone
- (504) 780-1702
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 685 | LA | Primary |
Addresses
Primary practice location
2901 N I 10 Service Rd E
Ste 300
Metairie, LA 70002-6137
Mailing address
2901 N I 10 Service Rd E
Ste 300
Metairie, LA 70002-6137
Phone (504) 780-1702
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Neuropsychologist
- Metairie, LA
- NPI 1780729939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422230400000",
"number": "1568852812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 N I 10 SERVICE RD E",
"address_2": "STE 300",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700026137",
"telephone_number": "504-780-1702",
"fax_number": "504-780-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 N I 10 SERVICE RD E",
"address_2": "STE 300",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700026137",
"telephone_number": "504-780-1702",
"fax_number": "504-780-1705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIANCHINI NORTHSHORE",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-26",
"last_updated": "2015-01-26",
"status": "A",
"authorized_official_last_name": "BIANCHINI",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "504-780-1702",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "LA",
"license": "685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.