New Awakenings, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD204139 Issued in LA

Legal business name

NEW AWAKENINGS, LLC

Practice address

4440 Viking Dr
Suite 300-400
Bossier City, LA 71111-7511

Phone

(318) 584-7137

Fax

(318) 584-7140

NPI assigned

Oct 26, 2015

Last updated

Oct 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anshuman Jyoti, M.D.

Title

Owner

Phone

(818) 438-9091

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1730551052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 VIKING DR",
            "address_2": "SUITE 300-400",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711117511",
            "telephone_number": "318-584-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 VIKING DR",
            "address_2": "SUITE 300-400",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711117511",
            "telephone_number": "318-584-7137",
            "fax_number": "318-584-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AWAKENINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "JYOTI",
        "authorized_official_first_name": "ANSHUMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-438-9091",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD204139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.