Organization Active NPI

Therapeutic Behavioral Servicess

  • Health Maintenance Organization
  • Marrero, LA
National Provider Identifier
1821481714
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
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

Updated by the provider on Mar 17, 2015

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.