Creveling-Benefield LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1296 Issued in LA

Legal business name

CREVELING-BENEFIELD LLC

Practice address

4300 S I 10 Service Rd W Ste 112
Metairie, LA 70001-7425

Phone

(504) 265-7595

Fax

(800) 490-8511

NPI assigned

Nov 15, 2017

Last updated

Nov 15, 2017By 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

Dr. Christiane Creveling-Benefield, PH.D.NPI 1356738421

Title

Owner

Phone

(225) 405-4401

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Christiane Creveling-Benefield, PH.D.

  • Psychologist
  • Metairie, LA
  • NPI 1356738421
  NPD Authorized official

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1619480357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 S I 10 SERVICE RD W STE 112",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700017425",
            "telephone_number": "504-265-7595",
            "fax_number": "800-490-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 S I 10 SERVICE RD W STE 112",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700017425",
            "telephone_number": "504-265-7595",
            "fax_number": "800-490-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREVELING-BENEFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "CREVELING-BENEFIELD",
        "authorized_official_first_name": "CHRISTIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-405-4401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": "1296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356738421",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crescent City Surgical Centre Operating Company, L.L.C.
• Crescent Vans
• Crescent View Surgery Center, LLC
• Guy Gerard Cresson, D.D.S.
• Russell Jeffrey Cresson, DDS, MS
• Christiane Creveling-Benefield, PH.D.
• Jake Charles Crifasi Jr., BCBA, LBA
• Brittany Josie Crockett
• Courtney Rayne Crossland
• Stephanie Crowder, LPC, LMFT

• Psychologist in Metairie, LA
• Providers in Metairie, LA by specialty
• Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.