Active NPI
John W Pickering, PH.D.
- Clinical Psychologist
- Baton Rouge, LA
National Provider Identifier
1730306002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- # 516
- Practice address
- 7510 Highland Rd
Baton Rouge, LA 70808-6726 - Phone
- (225) 766-2822
- Fax
- (225) 766-2823
- NPI assigned
- Apr 19, 2007
- 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 | # 516 | LA | Primary |
Addresses
Primary practice location
7510 Highland Rd
Baton Rouge, LA 70808-6726
Mailing address
7510 Highland Rd
Baton Rouge, LA 70808-6726
Phone (225) 766-2822
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| # 516 | LA | MD | Clinical Psychologist |
| 516 | LA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282867200000",
"number": "1730306002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7510 HIGHLAND RD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708086726",
"telephone_number": "225-766-2822",
"fax_number": "225-766-2823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7510 HIGHLAND RD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708086726",
"telephone_number": "225-766-2822",
"fax_number": "225-766-2823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKERING",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2010-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "# 516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.