Active NPI
Laura Louis, PH.D.
- Psychologist
- Atlanta, GA
National Provider Identifier
1700205937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY003773
- Practice address
- 1758 Century Blvd
Atlanta, GA 30345-3714 - Phone
- (404) 496-8070
- NPI assigned
- Apr 15, 2014
- Last updated
- Apr 10, 2015
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY003773 | GA | Primary |
Addresses
Primary practice location
1758 Century Blvd
Atlanta, GA 30345-3714
Mailing address
710 Peachtree St NE Apt 1420
Atlanta, GA 30308-1237
Phone (404) 496-8070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003773 | GA | MD | Psychologist |
Organizations & group practices 1
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": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428624000000",
"number": "1700205937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 PEACHTREE ST NE APT 1420",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303081237",
"telephone_number": "404-496-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1758 CENTURY BLVD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453714",
"telephone_number": "404-496-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUIS",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2015-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY003773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.