Active NPI
Greenhouse Psychiatric Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Lafayette, LA
National Provider Identifier
1669130621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- GREENHOUSE PSYCHIATRIC SERVICES LLC
- Practice address
- 113 Flagg PL BLDG B
Lafayette, LA 70508-7025 - Phone
- (337) 247-7282
- Fax
- (337) 279-0776
- NPI assigned
- Dec 7, 2021
- 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
- Robert Allen Green, PMHNP
- Title
- Owner
- Phone
- (337) 247-7282
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
113 Flagg PL BLDG B
Lafayette, LA 70508-7025
Mailing address
300 Highland View Dr
Youngsville, LA 70592-6080
Phone (337) 247-7282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
113 Flagg Pl
Bldg B
Lafayette, LA 70508
Phone (337) 247-7282
4330 Loveland St
Metairie, LA 70006
Phone (504) 736-5253
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lafayette, LA
- NPI 1487328464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672876800000",
"number": "1669130621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HIGHLAND VIEW DR",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705926080",
"telephone_number": "337-247-7282",
"fax_number": "337-279-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 FLAGG PL BLDG B",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705087025",
"telephone_number": "337-247-7282",
"fax_number": "337-279-0776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENHOUSE PSYCHIATRIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-07",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-247-7282",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.