Organization Active NPI

Color Gallery, Inc.

  • Clinical Psychologist
  • New Orleans, LA
National Provider Identifier
1780131185
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1334 Issued in LA
Legal business name
COLOR GALLERY, INC.
Practice address
1340 Poydras St Ste 1770
New Orleans, LA 70112-5204
Phone
(561) 897-3384
NPI assigned
Sep 2, 2016
Organization subpart
No

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250609000153 FL Part B Supplier - Clinic/Group Practice 9436669504 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Coast, FL
O20251010004301 LA Part B Supplier - Clinic/Group Practice 9436669504 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

180 Pinnacles Dr
Ste 201
Palm Coast, FL 32164
Phone (877) 212-7796

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Ursula Theresa RochonNPI 1831928373
Title
Founder
Phone
(561) 897-3384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1334 LA Primary

Addresses

Primary practice location

1340 Poydras St Ste 1770
New Orleans, LA 70112-5204

Mailing address

1340 Poydras St Ste 1770
New Orleans, LA 70112-5204
Phone (561) 897-3384

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1780131185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 POYDRAS ST STE 1770",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701125204",
            "telephone_number": "561-897-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 POYDRAS ST STE 1770",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701125204",
            "telephone_number": "561-897-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLOR GALLERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "ROCHON",
        "authorized_official_first_name": "URSULA",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "561-897-3384"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "1334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.