Active NPI
Therapeutic Behavioral Servicess
- Health Maintenance Organization
- Marrero, LA
National Provider Identifier
1821481714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- THERAPEUTIC BEHAVIORAL SERVICESS
- Practice address
- 605 Silver Lilly LN
Marrero, LA 70072-1426 - Phone
- (940) 735-0604
- NPI assigned
- Mar 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Durrell Jeffery
- Title
- C.E.O.
- Phone
- (940) 735-0604
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | LA | ||
| Health Maintenance Organization | 302R00000X | LA | Primary | |
| Preferred Provider Organization | 305R00000X | LA | ||
| Point of Service | 305S00000X | LA |
Addresses
Primary practice location
605 Silver Lilly LN
Marrero, LA 70072-1426
Mailing address
605 Silver Lilly LN
Marrero, LA 70072-1426
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426550400000",
"number": "1821481714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 SILVER LILLY LN",
"city": "MARRERO",
"state": "LA",
"postal_code": "700721426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 SILVER LILLY LN",
"city": "MARRERO",
"state": "LA",
"postal_code": "700721426",
"telephone_number": "940-735-0604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPEUTIC BEHAVIORAL SERVICESS",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-17",
"last_updated": "2015-03-17",
"status": "A",
"authorized_official_last_name": "JEFFERY",
"authorized_official_first_name": "DURRELL",
"authorized_official_title_or_position": "C.E.O.",
"authorized_official_telephone_number": "940-735-0604"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "LA",
"license": null,
"primary": true
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "LA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.