Active NPI
Michelle Ann Stiaes, PSY.D
- Clinical Psychologist
- New Orleans, LA
National Provider Identifier
1639316656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 865
- Practice address
- 4460 General Meyer Ave
New Orleans, LA 70131-3529 - Phone
- (504) 364-6613
- Fax
- (504) 364-6651
- NPI assigned
- Jan 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Psychologist | 103TC0700X | 865 | LA | Primary |
Addresses
Primary practice location
4460 General Meyer Ave
New Orleans, LA 70131-3529
Mailing address
4460 General Meyer Ave
New Orleans, LA 70131-3529
Phone (504) 364-6613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 865 | LA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1639316656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4460 GENERAL MEYER AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701313529",
"telephone_number": "504-364-6613",
"fax_number": "504-364-6651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4460 GENERAL MEYER AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701313529",
"telephone_number": "504-364-6613",
"fax_number": "504-364-6651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIAES",
"first_name": "MICHELLE",
"middle_name": "ANN",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-13",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.