NPIMap

Individual provider Active NPI

Debra Spruel Charles, PSYD

  • Group Psychotherapy Psychologist
  • Baton Rouge, LA
National Provider Identifier
1851003719
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
License
DC860062 Issued in LA
Practice address
6962 Titian Ave Apt 7
Baton Rouge, LA 70806-2749
Phone
(225) 284-7025
NPI assigned
Dec 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X DC860062 LA
Case Manager/Care Coordinator 171M00000X DC860062 LA
Group Psychotherapy Psychologist 103TP2701X DC860062 LA Primary

Addresses

Primary practice location

6962 Titian Ave Apt 7
Baton Rouge, LA 70806-2749

Mailing address

6962 Titian Ave Apt 7
Baton Rouge, LA 70806-2749
Phone (225) 284-7025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC860062LAMDGroup Psychotherapy Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1851003719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6962 TITIAN AVE APT 7",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708062749",
            "telephone_number": "225-284-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6962 TITIAN AVE APT 7",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708062749",
            "telephone_number": "225-284-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRUEL CHARLES",
        "first_name": "DEBRA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "LA",
            "license": "DC860062",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "DC860062",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "LA",
            "license": "DC860062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.