Organization Active NPI

John Courtney LLC

  • Prescribing (Medical) Psychologist
  • Covington, LA
National Provider Identifier
1669887907
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
MPAP Issued in LA
Legal business name
JOHN COURTNEY LLC
Practice address
118 Terra Bella Blvd
Suite 101
Covington, LA 70433-8148
Phone
(504) 208-9476
NPI assigned
Jun 25, 2014
Last updated
Jun 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Dr. John C Courtney, PSY.D., MP
Title
Owner
Phone
(504) 208-9476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X MPAP LA Primary

Addresses

Primary practice location

118 Terra Bella Blvd
Suite 101
Covington, LA 70433-8148

Mailing address

118 Terra Bella Blvd
Suite 101
Covington, LA 70433-8148
Phone (504) 208-9476

Other identifiers 1

IdentifierTypeStateIssuer
1004812MedicaidLA

National Provider Directory

National Provider Directory

Locations

118 Terra Bella Blvd
Ste 101
Covington, LA 70433
Phone (504) 208-9476

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1669887907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 TERRA BELLA BLVD",
            "address_2": "SUITE 101",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338148",
            "telephone_number": "504-208-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 TERRA BELLA BLVD",
            "address_2": "SUITE 101",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338148",
            "telephone_number": "504-208-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN COURTNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-208-9476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., MP"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "MPAP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004812",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.