Organization Active NPI

Professional Psychotherapy Network, Inc.

  • Psychiatry Physician
  • New Orleans, LA
National Provider Identifier
1730356163
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
02763R Issued in LA
Legal business name
PROFESSIONAL PSYCHOTHERAPY NETWORK, INC.
Practice address
1529 River Oaks Rd W
New Orleans, LA 70123-2162
Phone
(504) 729-4414
Fax
(504) 729-4415
NPI assigned
May 14, 2008
Last updated
Oct 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Ms. Tricia B Mogg
Title
Medical Biller
Phone
(504) 729-4414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 02763R LA Primary

Addresses

Primary practice location

1529 River Oaks Rd W
New Orleans, LA 70123-2162

Mailing address

1529 River Oaks Rd W
New Orleans, LA 70123-2162
Phone (504) 729-4414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081014000278 LA Part B Supplier - Clinic/Group Practice 2567530819 Receives reassigned benefits from 1 practitioner
Practice locations: Metairie, LA

National Provider Directory

National Provider Directory

Locations

1529 River Oaks Rd W
New Orleans, LA 70123
Phone (504) 729-4414

1529 River Oaks Rd W
Ste 123
New Orleans, LA 70123
Phone (504) 729-4414

621 Distributors Row
New Orleans, LA 70123
Phone (504) 345-8433

Practitioners & affiliated clinicians

Practitioners 1

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": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1730356163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 RIVER OAKS RD W",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701232162",
            "telephone_number": "504-729-4414",
            "fax_number": "504-729-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 RIVER OAKS RD W",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701232162",
            "telephone_number": "504-729-4414",
            "fax_number": "504-729-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PSYCHOTHERAPY NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "MOGG",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "504-729-4414",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "02763R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.