Individual provider Active NPI

Sonia Blauvelt, PHD

  • Clinical Psychologist
  • Baton Rouge, LA
National Provider Identifier
1760922868
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1531 Issued in LA
Practice address
11914 Justice Ave Ste B3
Baton Rouge, LA 70816-5315
Phone
(225) 238-1166
NPI assigned
Mar 8, 2017
Last updated
Nov 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1531 LA Primary

Addresses

Primary practice location

11914 Justice Ave Ste B3
Baton Rouge, LA 70816-5315

Mailing address

11914 Justice Ave Ste B3
Baton Rouge, LA 70816-5315
Phone (225) 238-1166

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1531LAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonia S. Blauvelt, PH.D., LLC CurrentSince Nov 27, 2022 Accepting new patients

Locations

11914 Justice Ave
Ste B3
Baton Rouge, LA 70816
Phone (225) 238-1166

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1760922868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11914 JUSTICE AVE STE B3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165315",
            "telephone_number": "225-238-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 JUSTICE AVE STE B3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165315",
            "telephone_number": "225-238-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAUVELT",
        "first_name": "SONIA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "1531",
            "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 Nov 22, 2022; 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.