Individual provider Active NPI

Jeffrey Christopher Rouse, M.D.

  • Psychiatry Physician
  • New Orleans, LA
National Provider Identifier
1780697516
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25250 Issued in LA
Practice address
3712 Macarthur Blvd
New Orleans, LA 70114-6802
Phone
(504) 227-0461
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25250 LA Primary

Addresses

Primary practice location

3712 Macarthur Blvd
New Orleans, LA 70114-6802

Mailing address

3712 Macarthur Blvd
New Orleans, LA 70114-6802
Phone (504) 227-0461

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
I20050915000018 LA Practitioner - PsychiatryPractitioner - Neurology 6204869787 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25250LAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Louisiana State Hospital CurrentSince Dec 20, 2024 Accepting new patients
Southern Wellness PHS LLC Past Accepting new patients

Locations

4502 Highway 951
Jackson, LA 70748
Phone (225) 634-0224

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Freedom Behavioral Hospital of BunkieBunkie, LA, CCN 194123 Hospital Contracted Managing Employee Mar 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780697516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 MACARTHUR BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146802",
            "telephone_number": "504-227-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 MACARTHUR BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146802",
            "telephone_number": "504-227-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "JEFFREY",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "25250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.