Individual provider Active NPI

Virginia Diane Garrett, PH.D.

  • Clinical Psychologist
  • Baton Rouge, LA
National Provider Identifier
1881655595
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
684 Issued in LA
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
H5829OtherLABLUE 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
684LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
V. Diane Garrett, PH.D. Clinical PastSince Apr 11, 2021 Accepting new patients
Adrian a. Agosta, LCSW, LLC PastSince Apr 21, 2016 Accepting new patients
Family Therapy Clinic of Louisiana, LLC PastSince Oct 24, 2021 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.

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

Verify at the official NPI Registry.