Psychcare of Louisiana, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

194673 Issued in LA

Legal business name

PSYCHCARE OF LOUISIANA, LLC

Doing business as

Shifa Commmunity Mental Health Center

Practice address

6717 Goya Ave
Baton Rouge, LA 70806-2171

Phone

(225) 924-9930

Fax

(225) 925-2575

NPI assigned

Nov 11, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Vincent A Morella Sr., CPA

Title

Cfo

Phone

(225) 927-7878

Specialties & licenses 1

Addresses

Other names 1

• SHIFA COMMMUNITY MENTAL HEALTH CENTER Doing business as

Locations

Practitioners 1

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

• Denise Graham, MD

  • Psychiatry Physician
  • Clinton Township, MI
  • NPI 1689609737
  NPD (past)

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1982685228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 WRENWOOD BLVD",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091782",
            "telephone_number": "225-927-7878",
            "fax_number": "225-927-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 GOYA AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708062171",
            "telephone_number": "225-924-9930",
            "fax_number": "225-925-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHCARE OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "MORELLA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "225-927-7878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": "194673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHIFA COMMMUNITY MENTAL HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dominique Pryer
• Lakeisha Danielle Pryer
• Veronica Evette Pryor-Faciane, PLPC
• Mallory A Pryor, LCSW
• Psy Matters, LLC
• Psychiatry Assocaties of Baton Rouge LLC
• PTG2, LLC (Prescriptions to Geaux #2)
• Philippe Emile Pucheu, PHARMD
• Ella Puckett
• Jason Henry Puente

• Mental Health Clinic/Center (Including Community Mental Health Center) in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.