Victoria Witt, PHD, MS

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

636-000032 Issued in LA

Practice address

687 Marilyn Dr
Mandeville, LA 70448-4729

Phone

(985) 502-3452

Fax

(985) 624-4866

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, 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 and National Provider Directory roles.

• Essential Care Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Orleans, LA
  • NPI 1447402144
  NPD (past)
• New Orleans Healthy Health LLC.

  • Community/Behavioral Health Agency
  • New Orleans, LA
  • NPI 1336694298
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1962566356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 MARILYN DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484729",
            "telephone_number": "985-502-3452",
            "fax_number": "985-624-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 MARILYN DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484729",
            "telephone_number": "985-502-3452",
            "fax_number": "985-624-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "PHD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003544",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "636",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "636-000032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010283078",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Willingham, PMHNP
• John Kelver Willis, MD
• April Wilson
• Louis Philip Wingerter, RPH
• Shelly Ann Witman, SLP
• Amy Elizabeth Wolke
• Womens Health & Pelvic Pain Group LLC
• Katherine Wonch, O.D.
• Sarah Woodard
• Emiya Woods

• Prescribing (Medical) Psychologist in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Prescribing (Medical) Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.