NPIMap

Organization Active NPI

Acidom Consulting Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marrero, LA
National Provider Identifier
1669728051
Registry record updated Jun 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ACIDOM CONSULTING GROUP
Practice address
931 Westwood Dr
Suite E
Marrero, LA 70072-2400
Phone
(504) 340-8880
Fax
(504) 340-8884
NPI assigned
Aug 3, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Roxanne Modica
Title
Manager
Phone
(504) 340-8880

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

National Provider Directory

National Provider Directory

Locations

931 Westwood Dr
Ste E
Marrero, LA 70072
Phone (504) 340-8880

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

NPPES NPI Registry

Primary practice location

931 Westwood Dr
Suite E
Marrero, LA 70072-2400

Mailing address

931 Westwood Dr
Suite E
Marrero, LA 70072-2400
Phone (504) 340-8880

Other names 1

NPPES NPI Registry
  • ACIDOM Medical Services Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2023.

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686355200000",
    "number": "1669728051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 WESTWOOD DR",
            "address_2": "SUITE E",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722400",
            "telephone_number": "504-340-8880",
            "fax_number": "504-340-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 WESTWOOD DR",
            "address_2": "SUITE E",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722400",
            "telephone_number": "504-340-8880",
            "fax_number": "504-340-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACIDOM CONSULTING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2023-06-10",
        "certification_date": "2023-06-10",
        "status": "A",
        "authorized_official_last_name": "MODICA",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-340-8880"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACIDOM Medical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACIDOM Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2023; 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.