NPIMap

Child&Adolescent Behavioral Health System

Organization Active NPI Health Maintenance Organization · New Orleans, LA

NPI 1780958306 · NPPES record last updated Feb 29, 2012

Key facts

NPI
1780958306
Entity type
Organization (NPI type 2)
Primary specialty
Health Maintenance Organization 302R00000X
Legal business name
CHILD&ADOLESCENT BEHAVIORAL HEALTH SYSTEM
Practice address
3801 Canal St Ste 210
New Orleans, LA 70119-6069
Phone
(504) 483-1985
Fax
(504) 483-1984
NPI assigned
Feb 29, 2012
Organization subpart
No

Authorized official

Name
Mr. Wendell Melvin Cousin NPI 1417221953
Title
Administrative Support/Clerical
Phone
(504) 483-1985

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

Practitioners 6

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Yes

Addresses

Primary practice location

3801 Canal St Ste 210
New Orleans, LA 70119-6069

Mailing address

3801 Canal St Ste 210
New Orleans, LA 70119-6069
Phone (504) 483-1985

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 29, 2012.

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1780958306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 CANAL ST STE 210",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196069",
            "telephone_number": "504-483-1985",
            "fax_number": "504-483-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 CANAL ST STE 210",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196069",
            "telephone_number": "504-483-1985",
            "fax_number": "504-483-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD&ADOLESCENT BEHAVIORAL HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "COUSIN",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "ADMINISTRATIVE SUPPORT/CLERICAL",
        "authorized_official_telephone_number": "504-483-1985",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

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Sources for this page

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