Active NPI
Integrated Care and Consulting LLC
- Psychiatry Physician
- Gretna, LA
National Provider Identifier
1629625827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202115 | Other | LA | MENTAL HEALTH GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- New Orleans, LA
- NPI 1164681847
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.