Active NPI
Peter John Resweber, PH.D.
- Clinical Psychologist
- Lafayette, LA
National Provider Identifier
1710040837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 833
- Practice address
- 309 St. Julien Ave
Lafayette, LA 70506-4655 - Phone
- (337) 706-1940
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- 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 | 833 | LA | Primary |
Addresses
Primary practice location
309 St. Julien Ave
Lafayette, LA 70506-4655
Mailing address
PO Box 92664
Lafayette, LA 70509-2664
Phone (337) 981-7369
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1710040837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 92664",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705092664",
"telephone_number": "337-981-7369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 ST. JULIEN AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064655",
"telephone_number": "337-706-1940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESWEBER",
"first_name": "PETER",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.