NPIMap

Organization Active NPI

Bianchini-Boake, LLC

  • Prescribing (Medical) Psychologist
  • Metairie, LA
National Provider Identifier
1639492325
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
661 Issued in LA
Legal business name
BIANCHINI-BOAKE, LLC
Practice address
3939 Houma Blvd
Ste 223
Metairie, LA 70006-2931
Phone
(504) 780-1702
Fax
(504) 780-1705
NPI assigned
Mar 9, 2010
Last updated
Mar 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Corwin Boake, PH.D.
Title
Member
Phone
(504) 780-1702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) Psychologist 103TP0016X 661 LA Primary

Addresses

Primary practice location

3939 Houma Blvd
Ste 223
Metairie, LA 70006-2931

Mailing address

3939 Houma Blvd
Ste 223
Metairie, LA 70006-2931
Phone (504) 780-1702

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1639492325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "STE 223",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062931",
            "telephone_number": "504-780-1702",
            "fax_number": "504-780-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "STE 223",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062931",
            "telephone_number": "504-780-1702",
            "fax_number": "504-780-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIANCHINI-BOAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "BOAKE",
        "authorized_official_first_name": "CORWIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "504-780-1702",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.