Clinton Ross, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

309749 Issued in LA

Practice address

2686 Newberry Station Dr
Lake Charles, LA 70611-3984

Phone

(337) 485-7600

Fax

(337) 485-7700

NPI assigned

Jun 14, 2017

Last updated

Apr 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Access Serenity of Louisiana LLCGroup PAC ID 4385985803, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Serenity of Louisiana, LLC

  dba Access Serenity

  • Psychiatry Physician
  • Many, LA
  • NPI 1104378629
  Medicare reassignment Care Compare group
• Allevia Mind LLC

  dba AlleviaMind

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Charles, LA
  • NPI 1710796297
  Medicare reassignment NPD
• Womans Physician Group

  • Specialist
  • Gonzales, LA
  • NPI 1730512906
  Medicare reassignment NPD
• LCMS Rehabilitation Institute of Southwest Louisiana

  dba MMG/Moss Campus

  • Physical Medicine & Rehabilitation Physician
  • Lake Charles, LA
  • NPI 1215161922
  NPD (past)
• Stonebridge Health Systems, LLC

  dba Stonebridge Behavioral Hospital

  • Psychiatric Hospital
  • Lake Charles, LA
  • NPI 1114627072
  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1649700527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 NEWBERRY STATION DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706113984",
            "telephone_number": "337-485-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2686 NEWBERRY STATION DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706113984",
            "telephone_number": "337-485-7600",
            "fax_number": "337-485-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME161304",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "309749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1063569648",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119512900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1551228",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2470299",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Thomas Roscoe
• Rosewood Nursing Center LLC
• Michelle Renee Roshto, MA, LPC
• Aiesha Ross
• Carl Wendell Ross Sr., MD
• William Ross, DMD
• Thomas M Rossowski, MD
• Dawn Allison Rosteet, NP
• Dominique Michellee Rougeau, MA, BCBA, LBA
• Robin Ann Rougeau, MD

• Psychiatry Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.