Amy E Cavanaugh, PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

998 Issued in LA

Practice address

3312 Kaliste Saloom Rd BLDG 1
Lafayette, LA 70508-7449

Phone

(337) 534-0727

Fax

(337) 534-0737

NPI assigned

Jan 18, 2007

Last updated

Jan 31, 2024By 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 7

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

University of Arkansas College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Amy E Cavanaugh PHD LLC

  • Clinical Psychologist
  • Lafayette, LA
  • NPI 1992025720
  Medicare reassignment Authorized official
• Acadiana Medical Psychological Services, LLC

  • Psychologist
  • Lafayette, LA
  • NPI 1598126351
  NPD
• C. Scott Eckholdt, PH.D., LTD., a Professional Psychology Corporation

  • Prescribing (Medical) Psychologist
  • Lafayette, LA
  • NPI 1295914059
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1962554790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 KALISTE SALOOM RD BLDG 1",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087449",
            "telephone_number": "337-534-0727",
            "fax_number": "337-534-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 KALISTE SALOOM RD BLDG 1",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087449",
            "telephone_number": "337-534-0727",
            "fax_number": "337-534-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "PHD LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "LA",
            "license": "998",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "LA",
            "license": "998",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "LA",
            "license": "998",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "998",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "LA",
            "license": "998",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "LA",
            "license": "998",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": "998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cath Lab Ambulatory Center Cardiology Specialist of Acadiana, LLC
• Catherine H Y a McDonald, M.D., a Professional Medical Corporation
• Leslie Jakeway Cathey
• Bailey Elizabeth Cauthen, M.S.
• Jason George Cavalier, PHARM D
• Matthew Jude Cavanaugh, D.C
• Michael R. Cavanaugh, D.C.
• Shavondali Harris Cawthorne, PMHNP-BC, FNP-C
• CCFR, LLC (Premier Wellness)
• CCP Medical Management LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.