Organization Active NPI

Telehealth Psychiatric Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mandeville, LA
National Provider Identifier
1871013235
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TELEHEALTH PSYCHIATRIC SERVICES, LLC
Practice address
2059 Timbercreek LN
Mandeville, LA 70448-7531
Phone
(985) 507-0833
NPI assigned
Jun 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Mark Gros
Title
Ao
Phone
(985) 507-0833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2059 Timbercreek LN
Mandeville, LA 70448-7531

Mailing address

2059 Timbercreek LN
Mandeville, LA 70448-7531
Phone (985) 507-0833

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1871013235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 TIMBERCREEK LN",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487531",
            "telephone_number": "985-507-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 TIMBERCREEK LN",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487531",
            "telephone_number": "985-507-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEHEALTH PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "GROS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "985-507-0833"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "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 Dec 5, 2025; 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.