Michael Berard, PH.D., M.P.
Individual provider Active NPI Prescribing (Medical) Psychologist · Lafayette, LA
NPI 1720020159 · NPPES record last updated Sep 17, 2010
Key facts
- NPI
- 1720020159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prescribing (Medical) Psychologist 103TP0016X
- License
- MPAP.000010 (LA)
- Practice address
- 601 W Saint Mary Blvd
Suite 406
Lafayette, LA 70506-3568 - Phone
- (337) 233-7867
- Fax
- (337) 235-7199
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
601 W Saint Mary Blvd
Suite 406
Lafayette, LA 70506-3564
Phone (337) 233-7867
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120131000390 | LA | Practitioner - Clinical Psychologist | 8426215641 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Berard, PH.D., M.P., a Professional Psychology Corporation | Cognitive & Behavioral | Current |
Accepting new patients |
Locations
601 W Saint Mary Blvd
Ste 406
Lafayette, LA 70506
Phone (337) 233-7867
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist | 103TP0016X | MPAP.000010 | LA | Yes |
| Clinical Psychologist | 103TC0700X | MPAP.000010 | LA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | MPAP.000010 | LA |
Addresses
Primary practice location
601 W Saint Mary Blvd
Suite 406
Lafayette, LA 70506-3568
Mailing address
PO Box 52612
Lafayette, LA 70505-2612
Phone (337) 233-7867
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1929191 | Medicaid | LA |
Other providers in Lafayette, LA
- Kathy R Benoit
- Larry James Benoit
- Matthew Ira Benoit I
- Sonya F Benoit
- Tina Marie Benoit
- Rosie Berard
- Chad Beraud
- Maurice Louis Bercier
- Ann Habetz Bergeron
- Coy Bergeron
All providers in Lafayette, LA · Prescribing (Medical) Psychologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.