Michael Todd Lobrano, PH.D.

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

325198 Issued in LA

Practice address

3341 Youree Dr Ste 20a
Shreveport, LA 71105-2149

Phone

(318) 425-2000

Fax

(318) 424-2601

NPI assigned

Jun 3, 2015

Sex

Male

Sole proprietor

No

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

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychology Associates of NW Louisiana LLCGroup PAC ID 8022421320, 6 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Psychology Associates of N.W. Louisiana, L.L.C.

  • Forensic Psychologist
  • Shreveport, LA
  • NPI 1831739820
  Medicare reassignment Care Compare group NPD
• Ronald a Goebel & Mark P Vigen PTR

  • Clinical Psychologist
  • Shreveport, LA
  • NPI 1477732188
  Medicare reassignment NPD

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1750761847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 YOUREE DR STE 20A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052149",
            "telephone_number": "318-425-2000",
            "fax_number": "318-424-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 YOUREE DR STE 20A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052149",
            "telephone_number": "318-425-2000",
            "fax_number": "318-424-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBRANO",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": "1323",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "325198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Live Out Loud Counseling
• Kasi Lively
• William James Livigni, LMFT
• Mario H Lobao Goncalves, MD
• Charles Marion Lobrano III, MD
• Edward Locascio, MD
• Judy Lynn Locati, M.D.
• Marcia Rose Locke Thompson, RN
• D'Shanti Lockett-Bradley
• Christianna M Lockett

• Prescribing (Medical) Psychologist in Shreveport, LA
• Providers in Shreveport, 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 Dec 21, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.