Active NPI
Mohammad Imran Naeem, M.D.
- Psychiatry Physician
- Mandeville, LA
National Provider Identifier
1811253420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 304496
- Practice address
- 4430 Highway 22 Ste B
Mandeville, LA 70471 - Phone
- (504) 402-6881
- Fax
- (985) 626-3470
- NPI assigned
- Apr 9, 2012
- Last updated
- May 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 304496 | LA | Primary |
Addresses
Primary practice location
4430 Highway 22 Ste B
Mandeville, LA 70471
Mailing address
4430 Highway 22
Mandeville, LA 70471-3310
Phone (985) 626-3470
Other names 1
- Dr. Mohammad Imran Naeem
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4430 Hwy 22
Mandeville, LA 70471-3310
Phone (985) 626-3470
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304496 | LA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Partners,LLC | Current | Accepting new patients |
Locations
60 Louis Prima Dr
#A
Covington, LA 70433
Phone (985) 327-5427
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Covington, LA
- NPI 1528330537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1811253420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4430 HIGHWAY 22",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704713310",
"telephone_number": "985-626-3470",
"fax_number": "985-674-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4430 HIGHWAY 22 STE B",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "70471",
"telephone_number": "504-402-6881",
"fax_number": "985-626-3470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAEEM",
"first_name": "MOHAMMAD",
"middle_name": "IMRAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-09",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "304496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOHAMMAD",
"last_name": "NAEEM",
"middle_name": "IMRAN",
"prefix": "DR.",
"credential": "MOHAMMAD I NAEEM MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.