Maurine T Ladner, PH.D., MP

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

000969 Issued in LA

Practice address

400 Georgia Ave
Bogalusa, LA 70427-3866

Phone

(985) 732-6610

NPI assigned

Dec 31, 2008

Last updated

Aug 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Florida Parishes Human Services Authority

  dba FPHSA Primary Care

  • Primary Care Clinic/Center
  • Hammond, LA
  • NPI 1679128292
  Medicare reassignment NPD
• Florida Parishes Human Services Authority

  dba FPHSA Slidell Clinic

  • Community/Behavioral Health Agency
  • Slidell, LA
  • NPI 1598194094
  NPD

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1720224470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GEORGIA AVE",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GEORGIA AVE",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273866",
            "telephone_number": "985-732-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADNER",
        "first_name": "MAURINE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PH.D., MP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "MP-969",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "000969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Knight
• Audrey Bryce Kortum, DDS
• Julia Miller Kreger
• William L Kuhn Jr., CRNA
• Ladner Caregivers, LLC
• Myrtis Ladner
• Stanley Jon Lagarde, PT
• Duc Minh Lai
• Nora E Lamartine, M.D.
• Gregory Paul Lanata, DPM

• Prescribing (Medical) Psychologist in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Prescribing (Medical) Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.