Individual provider Active NPI

Alyse Barker Blanchard, PH.D.

  • Clinical Psychologist
  • Thibodaux, LA
National Provider Identifier
1689124687
Registry record updated Dec 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1343 Issued in LA
Practice address
142 Rue Marguerite
Suite a
Thibodaux, LA 70301-6708
Phone
(985) 625-0023
Fax
(985) 625-0022
NPI assigned
Oct 13, 2016
Last updated
Dec 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1343 LA Primary

Addresses

Primary practice location

142 Rue Marguerite
Suite a
Thibodaux, LA 70301-6708

Mailing address

142 Rue Marguerite
Suite a
Thibodaux, LA 70301-6746
Phone (985) 625-0023

Other names 1

  • Alyse Ann Barker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170110000859 LA Practitioner - Clinical Psychologist 8527349364 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Health Care of South Louisiana CurrentSince Dec 21, 2016 Accepting new patients
Touchstone Center, LLC Past Accepting new patients

Locations

126 Rue Colette
Thibodaux, LA 70301
Phone (985) 625-0023

142 Rue Marguerite
Apt A
Thibodaux, LA 70301
Phone (985) 446-5628

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482451200000",
    "number": "1689124687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 RUE MARGUERITE",
            "address_2": "SUITE A",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016746",
            "telephone_number": "985-625-0023",
            "fax_number": "985-625-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 RUE MARGUERITE",
            "address_2": "SUITE A",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016708",
            "telephone_number": "985-625-0023",
            "fax_number": "985-625-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "ALYSE",
        "middle_name": "BARKER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "1343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSE",
            "last_name": "BARKER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.