BRODERICK LETREY PINKNEY (NPI# 1023208675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023208675 |
Entity Type | Individual |
Full Name | BRODERICK LETREY PINKNEY |
Credential | M.D |
Practice Address |
2810 East Causeway Approach Mandeville LA 70449-3502 |
Mailing Address |
1514 Jefferson Highway New Orleans LA 70121-2429 |
Practice Telephone | 9858752713 |
Practice Fax Number | 5043736103 |
Mailing Telephone | 5048424000 |
Enumeration Date | 2007-07-30 |
Last Update Date | 2011-11-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD.204069 | LA | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
GETP.LSU.P | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 06076223 | 05 | |
LA | 1006751 | 05 |
Street Address |
2810 EAST CAUSEWAY APPROACH |
City | MANDEVILLE |
State | LA |
Zip Code | 70449-3502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700261294 | Timothy Joel Stern | Nurse Practitioner | 18740 Highway 22, Maurepas, LA 70449 | 2015-07-25 |
1588138903 | Pediatric Group of Acadiana, LLC | Clinic/Center | 12713 Water Way, Maurepas, LA 70449-1200 | 2019-01-18 |
1740437037 | Chris Pharmacy and Gifts LLC | Pharmacy | 18525 Highway 22, Maurepas, LA 70449-3015 | 2008-08-19 |
1255985347 | Trent Gordon | Pharmacist | 18525 Highway 22, Maurepas, LA 70449-3015 | 2019-07-28 |
1548768906 | Chelsea Rogers Miguez | Pharmacist | 18525 Highway 22, Maurepas, LA 70449-3015 | 2018-01-31 |
1740788256 | Cody Guitreau | Pharmacy | 18525 Highway 22, Maurepas, LA 70449-3015 | 2018-01-30 |
1437657046 | Marie Landry | Pharmacist | 18525 Highway 22, Maurepas, LA 70449-3015 | 2018-01-29 |
1134152630 | Our Lady of The Lake Physician Group, LLC | Clinic/Center | 18740 Highway 22, Maurepas, LA 70449-3018 | 2006-07-08 |
1356755565 | Trina M Keller | Nurse Practitioner | 18740 Highway 22, Maurepas, LA 70449-3018 | 2014-06-16 |
1710927330 | Linx Physical Therapy & Wellness | Physical Therapist | 12505 Homeport Dr, Suite A, Maurepas, LA 70449-3045 | 2006-06-08 |
Find all providers in zip 70449 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891183596 | Chris Lartigue Md | Psychiatry & Neurology | 820 Lafitte St Ste 107, Mandeville, LA 70448-5274 | 2015-01-03 |
1154758738 | Insight Mental Health | Psychiatry & Neurology | 1011 N Causeway, Suite 21, Mandeville, LA 70471 | 2013-09-27 |
1063847853 | James Edward Hussey | Psychiatry & Neurology | 375 Winchester Cir, Mandeville, LA 70448-1938 | 2013-09-11 |
1821436353 | Lifenet Psychiatry Services, LLC | Psychiatry & Neurology | 500 Mariners Plaza Dr Ste 504, Mandeville, LA 70448-6852 | 2013-06-06 |
1619228509 | Radovi LLC | Psychiatry & Neurology | 7153 Edgewater Dr, Mandeville, LA 70471-7431 | 2012-10-02 |
1811253420 | Mohammad Imran Naeem | Psychiatry & Neurology | 4430 Highway 22 Ste B, Mandeville, LA 70471 | 2012-04-09 |
1093049280 | Lifenet Behavioral Health | Psychiatry & Neurology | 4070 Lonesome Rd, Suite B, Mandeville, LA 70448-7085 | 2009-09-22 |
1811011489 | Hossam Abou-taleb | Psychiatry & Neurology | 23515 Highway 190, Mandeville, LA 70448 | 2007-03-19 |
1235279167 | William F Colomb | Psychiatry & Neurology | 1445 W Causeway Approach, Mandeville, LA 70471-3045 | 2007-02-08 |
1316018450 | Aleksandra Panov Phillips | Psychiatry & Neurology | 139 Jane Dr, Mandeville, LA 70448-4719 | 2006-11-12 |
Find all providers in MANDEVILLE |
City | MANDEVILLE |
Zip Code | 70449 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.