Amy E Cavanaugh PHD LLC
Organization Active NPI Clinical Psychologist · Lafayette, LA
NPI 1992025720 · NPPES record last updated Jul 29, 2014
Key facts
- NPI
- 1992025720
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- AMY E CAVANAUGH PHD LLC
- Practice address
- 4540 Ambassador Caffery Pkwy Ste C200
Lafayette, LA 70508-6930 - Phone
- (337) 889-5830
- Fax
- (337) 889-5834
- NPI assigned
- Jun 3, 2010
- Organization subpart
- No
Authorized official
- Name
- Amy E Cavanaugh
- Title
- Officer
- Phone
- (337) 889-5830
Practitioners 3
-
Amy E Cavanaugh, PHD LLC
-
Christopher Scott Eckholdt, PH.D., M.P.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140423001031 | LA | Part B Supplier - Clinic/Group Practice | 2860625050 |
Receives reassigned benefits from 1 practitioner Practice locations: Lafayette, LA |
National Provider Directory
Locations
93 Magnate Dr
Lafayette, LA 70508
Phone (337) 806-9601
4500 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 521-9100
4540 Ambassador Caffery Pkwy
Ste C200
Lafayette, LA 70508
Phone (337) 889-5830
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
4540 Ambassador Caffery Pkwy Ste C200
Lafayette, LA 70508-6930
Mailing address
PO Box 80853
Lafayette, LA 70598-0853
Phone (337) 889-5830
Other providers in Lafayette, LA
- Amian Health Services, LLC
- Amit Navinchandra Amin
- Alexis Carroll Ammons
- Alexis Amos
- Winford Louis Amos
- Ahmad Issa Anbar
- Jean Charles-Edouard Ancelet
- Anchor of Hope & Strength, LLC
- Anchored Hope Counseling and Consulting, LLC
- Brandie Hidalgo Anderson
All providers in Lafayette, LA · Clinical Psychologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.