Bob Winston MD PSC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

11569R Issued in LA

Legal business name

BOB WINSTON MD PSC

Practice address

201 Rue Beauregard
Suite 100
Lafayette, LA 70508

Phone

(337) 593-0830

Fax

(337) 593-0122

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bob Winston, MDNPI 1619064367

Title

Psychiatrist Owner

Phone

(337) 593-0830

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bob Winston, MD

  • Psychiatry Physician
  • Lafayette, LA
  • NPI 1619064367
  Medicare reassignment NPD Authorized official
• Rebecca B Theriot, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
  • NPI 1730431297
  Medicare reassignment NPD
• Emily J Wyatt, PMHNP BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
  • NPI 1912197674
  Medicare reassignment NPD
• Jessica D Daigle, PA-C

  • Physician Assistant
  • Youngsville, LA
  • NPI 1821506726
  Medicare reassignment

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1891864161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RUE BEAUREGARD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-593-0830",
            "fax_number": "337-593-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RUE BEAUREGARD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-593-0830",
            "fax_number": "337-593-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB WINSTON MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "WINSTON",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "PSYCHIATRIST OWNER",
        "authorized_official_telephone_number": "337-593-0830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "11569R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1672025",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.