Seaside Behavioral Center, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2203781725 Issued in LA

Legal business name

SEASIDE BEHAVIORAL CENTER, LLC

Practice address

4201 Woodland Drive
New Orleans, LA 70131

Phone

(504) 393-4223

Fax

(504) 267-5692

NPI assigned

Sep 14, 2015

Organization subpart

Yes

Parent organization

SEASIDE BEHAVIORAL CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Johnny D. Lancaster

Title

Cfo

Phone

(318) 841-2619

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SBC Physician Group Other name

Part of

Seaside Behavioral Ctr LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Seaside Behavioral Center, LLC

  • Psychiatric Hospital
  • New Orleans, LA
  • NPI 1124355128
  NPPES parent name

Practitioners 1

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

• Eric Kinchen

  • Clinical Social Worker
  • Mandeville, LA
  • NPI 1619398377
  NPD (past)

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1902274525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FEU FOLLET DRIVE",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-234-8455",
            "fax_number": "337-234-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 WOODLAND DRIVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70131",
            "telephone_number": "504-393-4223",
            "fax_number": "504-267-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE BEHAVIORAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEASIDE BEHAVIORAL CENTER, LLC",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "LANCASTER",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "318-841-2619"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "2203781725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2700073",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SBC Physician Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sheila M Seals
• Trinekia Seals
• Melanie Seamster, LCSW
• Latoyia Sears, LMSW
• Seaside Behavioral Center, LLC
• Seasons of Time LLC
• Ashley Seaton
• Sarah Esther Sebbag, M.D.
• Secure Care Corporation
• Justin Pruett Seele, DO

• Psychiatry Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.