Active NPI
The Equestrian Therapy Center of Slidell
- Clinical Psychologist
- Slidell, LA
National Provider Identifier
1639567290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1297
- Legal business name
- THE EQUESTRIAN THERAPY CENTER OF SLIDELL
- Practice address
- 32597 C C Rd
Slidell, LA 70460-3269 - Phone
- (985) 641-4934
- Fax
- (985) 649-0982
- NPI assigned
- Jan 6, 2015
- Last updated
- Jan 6, 2015
- 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. Beverly Stubblefield, PH.D.
- Title
- Owner
- Phone
- (985) 641-4934
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1297 | LA | Primary |
Addresses
Primary practice location
32597 C C Rd
Slidell, LA 70460-3269
Mailing address
32597 C C Rd
Slidell, LA 70460-3269
Phone (985) 641-4934
National Provider Directory
National Provider Directory- Tax ID family
- The Equestrian Therapy Center of Slidell
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychologist
- Slidell, LA
- NPI 1134517436
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Slidell, LA
- NPI 1750435103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420502400000",
"number": "1639567290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32597 C C RD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704603269",
"telephone_number": "985-641-4934",
"fax_number": "985-649-0982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32597 C C RD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704603269",
"telephone_number": "985-641-4934",
"fax_number": "985-649-0982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE EQUESTRIAN THERAPY CENTER OF SLIDELL",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-06",
"last_updated": "2015-01-06",
"status": "A",
"authorized_official_last_name": "STUBBLEFIELD",
"authorized_official_first_name": "BEVERLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "985-641-4934",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "1297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
- Ky Than, PHARMD
- Zaw Win Thant, MD
- The Best Version of You Mental Health and Consulting Services, LLC
- The Counseling Center at Northshore Church (The Counseling Center)
- The Equestrian Therapy Center of Slidell
- The Finger, Fong and Gosey Group Practice, LLC (Elite Orthopaedic Specialists)
- The Great Atlantic and Pacific Tea Company Inc (Sav a Center Pharmacy)
- The Hope Center for Autism Needs
- The Inclusion Project
- The Optical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.