Dr. Renee' Babin Bonin, L.L.C.

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

MP.0005 Issued in LA

Legal business name

DR. RENEE' BABIN BONIN, L.L.C.

Practice address

200 Beaullieu Dr BLDG 9B-1
Lafayette, LA 70508-7230

Phone

(337) 504-3483

Fax

(337) 504-3573

NPI assigned

Sep 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Renee Babin Bonin, PHDNPI 1356555874

Title

Owner

Phone

(337) 504-3483

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 5

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

• Renee Babin Bonin, PH.D, MPAP

  • Prescribing (Medical) Psychologist
  • Lafayette, LA
  • NPI 1356555874
  Medicare reassignment NPD Authorized official
• Aimee Dupuy, LPC

  • Counselor
  • Lafayette, LA
  • NPI 1700364783
  NPD (past)
• Brandi Laborde

  • Professional Counselor
  • Lafayette, LA
  • NPI 1316354392
  NPD (past)
• David Landry, PH.D.

  • Clinical Psychologist
  • Lafayette, LA
  • NPI 1689914822
  NPD (past)
• Brad Louis Sibille, MA, LPC-S

  • Professional Counselor
  • Opelousas, LA
  • NPI 1891981791
  NPD (past)

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1992013569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BEAULLIEU DR",
            "address_2": "BLDG 9B-1",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087230",
            "telephone_number": "337-504-3483",
            "fax_number": "337-504-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BEAULLIEU DR BLDG 9B-1",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087230",
            "telephone_number": "337-504-3483",
            "fax_number": "337-504-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RENEE' BABIN BONIN, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "BONIN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "BABIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-504-3483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "3642",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "5048",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "4398",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "1224",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "MP.0005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prescribing (Medical) Psychologist in Lafayette, LA
• Providers in Lafayette, 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 Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.