Individual provider Active NPI

Stephanie Ray

  • Psychiatry Physician
  • Breaux Bridge, LA
National Provider Identifier
1770947624
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
322515 Issued in LA
Practice address
2539 Cecilia Sr High School Hwy
Breaux Bridge, LA 70517-6828
Phone
(337) 654-2344
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 322515 LA Primary

Addresses

Primary practice location

2539 Cecilia Sr High School Hwy
Breaux Bridge, LA 70517-6828

Mailing address

2539 Cecilia Sr High School Hwy
Breaux Bridge, LA 70517-6828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230714002553 LA Practitioner - Psychiatry 0648563478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Louisiana State University School of Medicine in New Orleans, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Mental Health MD, LLCGroup PAC ID 7911056742, 16 clinicians

Practice addresses (Care Compare)

6410 Masonic Dr
Alexandria, LA 71301-2319
Phone (318) 442-3163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
322515LAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Mental Health MD, LLC CurrentSince Jul 3, 2023 Accepting new patients
Opelousas General Hospital Authority Past Accepting new patients
Compass Behavioral Center of Houma, LLC Past Accepting new patients
Opelousas General Hospital Authority Past Accepting new patients

Locations

6410 Masonic Dr
Alexandria, LA 71301
Phone (318) 442-3163

713 N Avenue L
Crowley, LA 70526
Phone (337) 783-2859

3983 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 407-4512

Organizations & group practices 4

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1770947624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 CECILIA SR HIGH SCHOOL HWY",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705176828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 CECILIA SR HIGH SCHOOL HWY",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705176828",
            "telephone_number": "337-654-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "322515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breaux Bridge, LA

Sources for this page

Verify at the official NPI Registry.