Dependency Relief Centers of America LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DEPENDENCY RELIEF CENTERS OF AMERICA LLC

Doing business as

Dependency Pain Treatment Centers

Practice address

3439 Prytania St
Ste 501
New Orleans, LA 70115-7905

Phone

(504) 535-7212

Fax

(504) 814-1011

NPI assigned

Oct 19, 2016

Last updated

Oct 19, 2016By 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

Mr. Dan Forman

Title

President/Ceo

Phone

(504) 535-7212

Specialties & licenses 3

Addresses

Other names 1

• Dependency Pain Treatment Centers Doing business as

Locations

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1629529268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 CANAL ST",
            "address_2": "STE 324",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122714",
            "telephone_number": "504-535-7212",
            "fax_number": "504-814-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3439 PRYTANIA ST",
            "address_2": "STE 501",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701157905",
            "telephone_number": "504-535-7212",
            "fax_number": "504-814-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPENDENCY RELIEF CENTERS OF AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "504-535-7212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dependency Pain Treatment Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julianna Depaula, CCC-SLP
• Dependable Diagnostic Solutions
• Dependable Nursing and Family Care (Dependable In Home Care)
• Dependable Transport Service
• Dependable Transport Service
• Stephen Russell Deputy, MD
• Chanelle Dequina
• Denice Lorraine Derbes, DDS
• Stephen Joseph Derbes, MD
• Bethany Derby, MA, LPC

• Psychiatry Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.