NPIMap

Organization Active NPI

Sisters of Mercy Ministries D/B/a Mercy Family Center

  • Clinical Child & Adolescent Psychologist
  • Metairie, LA
National Provider Identifier
1609163351
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
SISTERS OF MERCY MINISTRIES D/B/A MERCY FAMILY CENTER
Practice address
110 Veterans Memorial Blvd Ste 425
Metairie, LA 70005-4959
Phone
(504) 838-8283
NPI assigned
Jul 1, 2011
Last updated
Jul 1, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
SISTERS OF MERCY HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Rex Menasco
Title
Executive Director
Phone
(504) 838-3235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X NU Primary

Addresses

Primary practice location

110 Veterans Memorial Blvd Ste 425
Metairie, LA 70005-4959

Mailing address

110 Veterans Memorial Blvd Ste 425
Metairie, LA 70005-4959

Other identifiers 1

IdentifierTypeStateIssuer
2127349MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Mercy Family Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

110 Veterans Memorial Blvd
Ste 425
Metairie, LA 70005
Phone (504) 838-8283

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1609163351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 VETERANS MEMORIAL BLVD STE 425",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VETERANS MEMORIAL BLVD STE 425",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054959",
            "telephone_number": "504-838-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERS OF MERCY MINISTRIES D/B/A MERCY FAMILY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SISTERS OF MERCY HEALTH SYSTEM",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "MENASCO",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-838-3235"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2127349",
            "state": "LA"
        }
    ],
    "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 Jul 1, 2011; 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.