Nicole F. Lanclos, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

988 Issued in LA

Practice address

3419 NW Evangeline Trwy Ste M-5
Carencro, LA 70520-6241

Phone

(337) 205-3388

Fax

(337) 703-0636

NPI assigned

Oct 24, 2006

Last updated

Jun 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Hope Clinical Services

  • Psychiatry Physician
  • Alexandria, LA
  • NPI 1962717124
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1952485567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 HIGHWAY 1252",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705205303",
            "telephone_number": "318-613-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 NW EVANGELINE TRWY STE M-5",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705206241",
            "telephone_number": "337-205-3388",
            "fax_number": "337-703-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCLOS",
        "first_name": "NICOLE",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "988",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "LA",
            "license": "988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lafayette Premier Vision Center LLC
• Aaron T Lafleur, DPT
• Jermiya Lafleur
• Torren Chavon Lafleur, MA, LPC
• Shawn Lambert, CNIM
• Mary B. Langford, LPC
• Laura Lavergne, LPC
• Michele Lavergne, DDS
• Amber M Leblanc, COTA
• Judith H Leblanc, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.