Active NPI
Peter Brian Crapanzano, M.D.
- Psychiatry Physician
- Covington, LA
National Provider Identifier
1922276740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD.09780R
- Practice address
- Beacon Healing & Wellness, LLC
671 River Highlands Blvd., Suite 8
Covington, LA 70433 - Phone
- (985) 624-2942
- Fax
- (985) 888-1120
- NPI assigned
- Feb 14, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD.09780R | LA | Primary |
Addresses
Primary practice location
Beacon Healing & Wellness, LLC
671 River Highlands Blvd., Suite 8
Covington, LA 70433
Mailing address
8901 Chretien Point PL
River Ridge, LA 70123-2714
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689475 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.09780R | LA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Health and Hospitals | Past | Accepting new patients | |
| Capital Area Human Services District | Past | Accepting new patients | |
| The Family Practice at Northshore Counseling and Wellness, LLC | Past | Accepting new patients | |
| Lisa B David MD Apmc | Past | Accepting new patients | |
| Robert W Davis MD PC | Past | Accepting new patients | |
| Capital Area Human Services District | Past | Accepting new patients | |
| Department of Health & Hospital | Past | Accepting new patients |
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Capital Area Human Services Total Health and Wellness Clinic
- Adult Medicine Physician
- Baton Rouge, LA
- NPI 1609609023
-
dba Ascension Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gonzales, LA
- NPI 1730104654
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hammond, LA
- NPI 1487707626
-
dba Lafourche Treatment Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Raceland, LA
- NPI 1619020559
-
- Otolaryngology Physician
- Lafayette, LA
- NPI 1407056286
-
- Specialist
- Gretna, LA
- NPI 1376741843
-
- Primary Care Clinic/Center
- Covington, LA
- NPI 1932641669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1922276740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 CHRETIEN POINT PL",
"city": "RIVER RIDGE",
"state": "LA",
"postal_code": "701232714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BEACON HEALING & WELLNESS, LLC",
"address_2": "671 RIVER HIGHLANDS BLVD., SUITE 8",
"city": "COVINGTON",
"state": "LA",
"postal_code": "70433",
"telephone_number": "985-624-2942",
"fax_number": "985-888-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAPANZANO",
"first_name": "PETER",
"middle_name": "BRIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-14",
"last_updated": "2022-05-20",
"certification_date": "2022-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "MD.09780R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689475",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.