NPIMap

Organization Active NPI

Fphsa Northlake Addictive Disorders Clinic

  • Community/Behavioral Health Agency
  • Mandeville, LA
National Provider Identifier
1568892289
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
479 Issued in LA
Legal business name
FPHSA NORTHLAKE ADDICTIVE DISORDERS CLINIC
Practice address
900 Wilkinson St
Mandeville, LA 70448-3533
Phone
(985) 624-4450
Fax
(985) 624-4461
NPI assigned
Nov 15, 2013
Last updated
Nov 15, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA PARISHES HUMAN SERVICES AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Mrs. Melanie Watkins
Title
Executive Director
Phone
(985) 748-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 479 LA Primary

Addresses

Primary practice location

900 Wilkinson St
Mandeville, LA 70448-3533

Mailing address

900 Wilkinson St
Mandeville, LA 70448-3533
Phone (985) 624-4450

National Provider Directory

National Provider Directory
Tax ID family
Fphsa Washington Addictive Disorders Clinic11 organizations share this tax ID, including this one
Part of
Fphsa Washington Addictive Disorders Clinic

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

900 Wilkinson St
Mandeville, LA 70448
Phone (985) 624-4450

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1568892289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WILKINSON ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483533",
            "telephone_number": "985-624-4450",
            "fax_number": "985-624-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WILKINSON ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483533",
            "telephone_number": "985-624-4450",
            "fax_number": "985-624-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FPHSA NORTHLAKE ADDICTIVE DISORDERS CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA PARISHES HUMAN SERVICES AUTHORITY",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "985-748-2220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.