Active NPI
Louisiana Psychiatric Clinic, LLC
- Psychiatry Physician
- Baton Rouge, LA
National Provider Identifier
1629099502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- LOUISIANA PSYCHIATRIC CLINIC, LLC
- Practice address
- 5225 Capitol Heights Ave
Suite 101
Baton Rouge, LA 70806-6066 - Phone
- (225) 927-4504
- NPI assigned
- Jul 23, 2006
- 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
- Dr. Jerry Sanders, M.D.
- Title
- Ceo Medical Director
- Phone
- (225) 927-4504
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | LA | Primary |
Addresses
Primary practice location
5225 Capitol Heights Ave
Suite 101
Baton Rouge, LA 70806-6066
Mailing address
5225 Capitol Heights Ave
Suite 101
Baton Rouge, LA 70806-6066
Phone (225) 927-4504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1443018 | Medicaid | LA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Baton Rouge, LA
- NPI 1700800653
-
- Psychiatry Physician
- Baton Rouge, LA
- NPI 1649283375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268265600000",
"number": "1629099502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 CAPITOL HEIGHTS AVE",
"address_2": "SUITE 101",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066066",
"telephone_number": "225-927-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 CAPITOL HEIGHTS AVE",
"address_2": "SUITE 101",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066066",
"telephone_number": "225-927-4504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUISIANA PSYCHIATRIC CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2010-03-11",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "CEO MEDICAL DIRECTOR",
"authorized_official_telephone_number": "225-927-4504",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1443018",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
- Louisiana Opportunity Zone Fund
- Louisiana Outreach Services
- Louisiana Pain Specialists, LLC
- Louisiana Peer Action Advocacy Coalition
- Louisiana Prosthetics, LLC
- Louisiana Regenerative Medicine Center
- Louisiana Rehab Products Inc
- Louisiana School for the Deaf
- Louisiana School for the Deaf
- Louisiana School for the Visually Impaired
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.