Care Tec Pediatric Center, LLC

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

981 Issued in LA

Legal business name

CARE TEC PEDIATRIC CENTER, LLC

Practice address

855 Shirley Rd
Bunkie, LA 71322-1540

Phone

(318) 346-7337

Fax

(318) 346-2339

NPI assigned

Jul 21, 2010

Last updated

Jul 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth A Lambeth, RN, BSN

Title

Owner/Administrator

Phone

(337) 301-1029

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1699088567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 SHIRLEY RD",
            "city": "BUNKIE",
            "state": "LA",
            "postal_code": "713221540",
            "telephone_number": "318-346-7337",
            "fax_number": "337-346-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SHIRLEY RD",
            "city": "BUNKIE",
            "state": "LA",
            "postal_code": "713221540",
            "telephone_number": "318-346-7337",
            "fax_number": "318-346-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE TEC PEDIATRIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "LAMBETH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "337-301-1029",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "LA",
            "license": "981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2359908",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.