Psychological Care Services of la, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PSYCHOLOGICAL CARE SERVICES OF LA, LLC

Practice address

109 Doubloon Dr
Slidell, LA 70461-2715

Phone

(985) 641-2513

Fax

(985) 265-4155

NPI assigned

Mar 26, 2012

Organization subpart

No

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

Authorized official

Name

Gertrude Parker

Title

Sole MBR

Phone

(985) 641-2513

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1902172893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 DOUBLOON DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704612715",
            "telephone_number": "985-641-2513",
            "fax_number": "985-265-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 DOUBLOON DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704612715",
            "telephone_number": "985-641-2513",
            "fax_number": "985-265-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL CARE SERVICES OF LA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "GERTRUDE",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "985-641-2513"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherrica Nicole Proctor
• Professional Radiology Services LLC
• Cynthia Provost
• Stephan Michael Pruitt, LPC
• Psych Nouveau Child & Family Psychiatric Care, LLC
• Pulliam Chiropractic Clinic, LLC
• Eddie R. Pulliam, D.C.
• Richelle Pultz
• Purple Hearts Health Care LLC
• Yushequa Quinn

• Clinical Psychologist in Slidell, LA
• Providers in Slidell, LA by specialty
• Clinical Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.