Michael Bernard Atkinson, PH.D.
Individual provider Active NPI Clinical Psychologist · Baton Rouge, LA
NPI 1639408909 · NPPES record last updated Jun 17, 2015
Key facts
- NPI
- 1639408909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 358 (LA)
- Practice address
- 2214 Quail Run
Baton Rouge, LA 70808-4128 - Phone
- (225) 239-2871
- Fax
- (225) 240-8053
- NPI assigned
- Dec 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 358 | LA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janina Mayeux PHD LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 358 | LA | Yes |
Addresses
Primary practice location
2214 Quail Run
Baton Rouge, LA 70808-4128
Mailing address
2214 Quail Run
Baton Rouge, LA 70808-4128
Phone (225) 239-2871
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2184105 | Medicaid | LA |
Other providers in Baton Rouge, LA
- Tia Atkins
- Todd Andrew Atkins
- Cheryl L Atkinson
- Christopher Michael Atkinson
- Jeremy Atkinson
- Atlas Mobility, LLC
- Atlas Optical Dispensary, LLC
- Atluri & Associates, LLC
- Anupama Atluri
- Ats Enterprises LLC
All providers in Baton Rouge, LA · Clinical Psychologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.