NPIMap

Organization Active NPI

Lifenet Psychiatry Services, LLC

  • Psychiatry Physician
  • Mandeville, LA
National Provider Identifier
1821436353
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD.010946 Issued in LA
Legal business name
LIFENET PSYCHIATRY SERVICES, LLC
Practice address
500 Mariners Plaza Dr Ste 504
Mandeville, LA 70448-6852
Phone
(985) 246-1250
Fax
(985) 246-1251
NPI assigned
Jun 6, 2013
Last updated
Apr 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Mr. Ehrett McClain
Title
Owner/Administrator
Phone
(985) 246-1250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD.010946 LA Primary

Addresses

Primary practice location

500 Mariners Plaza Dr Ste 504
Mandeville, LA 70448-6852

Mailing address

500 Mariners Plaza Dr Ste 504
Mandeville, LA 70448-6852
Phone (985) 246-1250

National Provider Directory

National Provider Directory

Locations

500 Mariners Plaza Dr
Ste 504
Mandeville, LA 70448
Phone (985) 246-1250

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1821436353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARINERS PLAZA DR STE 504",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704486852",
            "telephone_number": "985-246-1250",
            "fax_number": "985-246-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARINERS PLAZA DR STE 504",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704486852",
            "telephone_number": "985-246-1250",
            "fax_number": "985-246-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFENET PSYCHIATRY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "EHRETT",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "985-246-1250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.010946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.