NPIMap

Organization Active NPI

Equipoise Wellness Center

Doing business as Springfield Wellness Center

  • Psychiatry Physician
  • Springfield, LA
National Provider Identifier
1720111230
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L012746 Issued in LA
Legal business name
EQUIPOISE WELLNESS CENTER
Doing business as
Springfield Wellness Center
Practice address
32900 Pitcher Rd
Springfield, LA 70462-8334
Phone
(225) 294-5955
Fax
(225) 294-5955
NPI assigned
Mar 13, 2007
Last updated
Apr 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Paula Hotard
Title
Office Manager
Phone
(225) 294-5955

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 1907 LA
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X L012746 LA Primary

Addresses

Primary practice location

32900 Pitcher Rd
Springfield, LA 70462-8334

Mailing address

32900 Pitcher Rd
Springfield, LA 70462-8334
Phone (225) 294-5955

Other names 1

  • Springfield Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

32900 Pitcher Rd
Springfield, LA 70462
Phone (225) 294-5955

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1720111230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32900 PITCHER RD",
            "city": "SPRINGFIELD",
            "state": "LA",
            "postal_code": "704628334",
            "telephone_number": "225-294-5955",
            "fax_number": "225-294-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32900 PITCHER RD",
            "city": "SPRINGFIELD",
            "state": "LA",
            "postal_code": "704628334",
            "telephone_number": "225-294-5955",
            "fax_number": "225-294-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUIPOISE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "HOTARD",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-294-5955"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "1907",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "L012746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.