Declouet Psychiatric Services, LLC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

AP08470 Issued in LA

Legal business name

DECLOUET PSYCHIATRIC SERVICES, LLC

Practice address

100 Billeaud LN
Lafayette, LA 70506-3108

Phone

(337) 280-0441

NPI assigned

Oct 21, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Alexander Declouet, PMHNP

Title

Nurse Practitioner

Phone

(337) 280-0441

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1609248376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BILLEAUD LN",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063108",
            "telephone_number": "337-280-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BILLEAUD LN",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063108",
            "telephone_number": "337-280-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECLOUET PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "DECLOUET",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "337-280-0441",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "LA",
            "license": "AP08470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie M Jurgelsky MD LLC
• Diane Guidry Deblanc, RN
• Ronald P Deblanc, CRNA
• Jonathan Deck, DO
• Declouet Mental Health Solutions, LLC
• Monique Bianca Declouet-Dixon, FNP
• Alyssa Declouet, PMHNP
• Mark Declouet, NP
• Matthew Alexander Declouet, PMHNP
• Paige Declouet, PMHNP

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.