Stonebridge Health Systems, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

STONEBRIDGE HEALTH SYSTEMS, LLC

Practice address

2837 Ernest St Ste a
Lake Charles, LA 70601-8785

Phone

(337) 439-8111

Fax

(337) 439-1970

NPI assigned

Mar 8, 2023

Organization subpart

Yes

Parent organization

STONEBRIDGE HEALTH SYSTEMS, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Leslie Ann Trahan

Title

Member/Manager

Phone

(337) 439-8111

Specialties & licenses 8

Addresses

Other names 1

• Stonebridge Medical Group Other name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Stonebridge Health Systems, LLC

  • Psychiatric Hospital
  • Lake Charles, LA
  • NPI 1114627072

  6204068091

  Same PAC ID

Part of

Stonebridge Health Systems LLC

Locations

Practitioners 6

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

• Katherine Couch Devillier, PMNHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Charles, LA
  • NPI 1164283909
  Medicare reassignment NPD
• Halie Ory, MPAS, PA-C

  • Physician Assistant
  • Lake Charles, LA
  • NPI 1972974400
  Medicare reassignment
• Maureen Adrian Poe, APRN

  • Gerontology Nurse Practitioner
  • Sulphur, LA
  • NPI 1992700272
  Medicare reassignment
• Rachel Manuel Rowland, NP

  • Adult Health Nurse Practitioner
  • Lake Charles, LA
  • NPI 1548403454
  Medicare reassignment
• Zachary Ryder, M.D.

  • Psychiatry Physician
  • Lake Charles, LA
  • NPI 1942689211
  Medicare reassignment
• Sarah Walker

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Charles, LA
  • NPI 1760825152
  Medicare reassignment

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1780384644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 ERNEST ST STE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018785",
            "telephone_number": "337-439-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 ERNEST ST STE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018785",
            "telephone_number": "337-439-8111",
            "fax_number": "337-439-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBRIDGE HEALTH SYSTEMS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STONEBRIDGE HEALTH SYSTEMS, LLC",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "TRAHAN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "337-439-8111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonebridge Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shelbi Stoker, MS
• Michelle Angelica Stokes, BCBA
• Sydna Stone Oakley, BCBA
• Stonebridge Behavioral Health, LLC
• Stonebridge Health Systems, LLC
• George Zachary Storer, BCBA
• Andrew Stout, PT, DPT
• Hobin Roy Stout, CRNA
• Melanie Stracener, PHARM.D.
• Melinda Koonce Strickland, APRN

• Psychiatry Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.