Organization Active NPI

Challenges-Day Program

  • Child & Adolescent Psychiatry Physician
  • Mandeville, LA
National Provider Identifier
1770710741
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
CHALLENGES-DAY PROGRAM
Practice address
23515 Hwy 190
Mandeville, LA 70448
Phone
(985) 626-6300
Fax
(985) 626-6557
NPI assigned
Jun 17, 2009
Organization subpart
Yes
Parent organization
SOUTEAST LOUISIANA STATE HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Patricia Gonzales
Title
Ceo
Phone
(985) 626-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

23515 Hwy 190
Mandeville, LA 70448

Mailing address

P.O. Box 3850
Mandeville, LA 70470-3850
Phone (985) 626-6300

National Provider Directory

National Provider Directory
Tax ID family
Southeast Louisana State Hospital3 organizations share this tax ID, including this one
Part of
Southeast Louisana State Hospital

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1770710741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3850",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704703850",
            "telephone_number": "985-626-6300",
            "fax_number": "985-626-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23515 HWY 190",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "985-626-6300",
            "fax_number": "985-626-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHALLENGES-DAY PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTEAST LOUISIANA STATE HOSPITAL",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-626-6300"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.