Pontchartrain Psychological Resources, LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

PONTCHARTRAIN PSYCHOLOGICAL RESOURCES, LLC

Practice address

70452 Highway 21
200 #116
Covington, LA 70433-8116

Phone

(985) 590-8096

NPI assigned

Oct 1, 2013

Organization subpart

No

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

Authorized official

Name

Jamie Landry, PH.D.

Title

Psychologist/Sole MBR

Phone

(985) 590-8096

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1780011098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70452 HIGHWAY 21",
            "address_2": "200 #116",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338116",
            "telephone_number": "985-590-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70452 HIGHWAY 21",
            "address_2": "200 #116",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338116",
            "telephone_number": "985-590-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTCHARTRAIN PSYCHOLOGICAL RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST/SOLE MBR",
        "authorized_official_telephone_number": "985-590-8096",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Covington, LA
• Providers in Covington, LA by specialty
• Counseling Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.