Active NPI
Virginia Diane Garrett, PH.D.
- Clinical Psychologist
- Baton Rouge, LA
National Provider Identifier
1881655595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 684
- Practice address
- 7916 Wrenwood Blvd
Suite C
Baton Rouge, LA 70809-1782 - Phone
- (225) 302-5092
- Fax
- (225) 615-7329
- NPI assigned
- Mar 31, 2006
- Last updated
- Feb 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 684 | LA | Primary |
Addresses
Primary practice location
7916 Wrenwood Blvd
Suite C
Baton Rouge, LA 70809-1782
Mailing address
7916 Wrenwood Blvd
Suite C
Baton Rouge, LA 70809-1782
Phone (225) 302-5092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H5829 | Other | LA | BLUE CROSS BLUE SHIELD PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 684 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| V. Diane Garrett, PH.D. | Clinical | Past | Accepting new patients |
| Adrian a. Agosta, LCSW, LLC | Past | Accepting new patients | |
| Family Therapy Clinic of Louisiana, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Baton Rouge, LA
- NPI 1447302401
-
- Clinical Social Worker
- Baton Rouge, LA
- NPI 1538301502
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baton Rouge, LA
- NPI 1629018585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423526400000",
"number": "1881655595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7916 WRENWOOD BLVD",
"address_2": "SUITE C",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708091782",
"telephone_number": "225-302-5092",
"fax_number": "225-615-7329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7916 WRENWOOD BLVD",
"address_2": "SUITE C",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708091782",
"telephone_number": "225-302-5092",
"fax_number": "225-615-7329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "VIRGINIA",
"middle_name": "DIANE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2015-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "684",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD PROVIDER NUMBER",
"identifier": "H5829",
"state": "LA"
}
],
"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 Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.