NPIMap

Individual provider Active NPI

Beverly Ann Stubblefield, PH. D.

  • Clinical Psychologist
  • Slidell, LA
National Provider Identifier
1750435103
Registry record updated Mar 26, 2009
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Sep 20, 2017.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
524 Issued in LA
Practice address
32597 CC Rd.
Slidell, LA 70460
Phone
(985) 641-4934
Fax
(985) 649-0982
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 524 LA Primary
Clinical Psychologist 103TC0700X 407 MS

Addresses

Primary practice location

32597 CC Rd.
Slidell, LA 70460

Mailing address

32597 CC Rd.
Slidell, LA 70460
Phone (985) 641-4934

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
524LAMDClinical Psychologist
407MSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nursing Home Psychological Services of Mississippi, Inc. Past Accepting new patients
Nursing Home Psychological Services of Louisiana LLC Clinical Past Accepting new patients
Shelly Blanchard, L.L.C. Past Accepting new patients
The Equestrian Therapy Center of Slidell Past Accepting new patients
Nursing Home Psychological Services, LLC Past Accepting new patients
John Lovern, LCSW, LLC Past Accepting new patients
Nursing Home Psychological Services LLC Clinical Past Accepting new patients
Pensacola Health Trust Inc Past Accepting new patients
The Equestrian Therapy Center of Slidell Clinical Past Accepting new patients

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1750435103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32597 CC RD.",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70460",
            "telephone_number": "985-641-4934",
            "fax_number": "985-649-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32597 CC RD.",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70460",
            "telephone_number": "985-641-4934",
            "fax_number": "985-649-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBLEFIELD",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "524",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "407",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.