Active NPI
Alyse Barker Blanchard, PH.D.
- Clinical Psychologist
- Thibodaux, LA
National Provider Identifier
1689124687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1343
- 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, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Health Care of South Louisiana | Current | 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.
-
- Clinical Neuropsychologist
- Houma, LA
- NPI 1134418502
-
- Behavior Analyst
- Thibodaux, LA
- NPI 1972924314
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.