Organization Active NPI

Integrated Care and Consulting LLC

  • Psychiatry Physician
  • Gretna, LA
National Provider Identifier
1629625827
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INTEGRATED CARE AND CONSULTING LLC
Practice address
3201 Wall Blvd
Gretna, LA 70056-7875
Phone
(504) 475-3777
Fax
(985) 781-4319
NPI assigned
Aug 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Dr. Donisha Dunn-Lombard, MD
Title
Owner
Phone
(985) 781-0548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

3201 Wall Blvd
Gretna, LA 70056-7875

Mailing address

3674 Pin Oak Ave
New Orleans, LA 70131
Phone (504) 475-3777

Other identifiers 1

IdentifierTypeStateIssuer
202115OtherLAMENTAL HEALTH GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190913001588 LA Part B Supplier - Clinic/Group Practice 3476883075 Receives reassigned benefits from 1 practitioner
Practice locations: Gretna, LA; New Orleans, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1629625827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3674 PIN OAK AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70131",
            "telephone_number": "504-475-3777",
            "fax_number": "985-781-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 WALL BLVD",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567875",
            "telephone_number": "504-475-3777",
            "fax_number": "985-781-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CARE AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "DUNN-LOMBARD",
        "authorized_official_first_name": "DONISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-781-0548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH GROUP",
            "identifier": "202115",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.