DR. MAXINE ELIZABETH CAMPBELL-FLINT


Address: 412 N 4th St, Suite 100, Baton Rouge, LA 70802-5523
Phone: 2257191988

DR. MAXINE ELIZABETH CAMPBELL-FLINT (NPI# 1093860371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093860371
Entity Type Individual
Full Name DR. MAXINE ELIZABETH CAMPBELL-FLINT
Credential PHD, MP
Practice Address 412 N 4th St
Suite 100
Baton Rouge
LA 70802-5523
Mailing Address 7725 Hanks Dr
Baton Rouge
LA 70812-4004
Practice Telephone 2257191988
Practice Fax Number 8887195854
Mailing Telephone 2257191988
Mailing Fax Number 8887195854
Enumeration Date 2007-01-24
Last Update Date 2017-06-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP0016X Psychologist
Specialization: Prescribing (Medical)
MC3002401 LA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1563439 05

Office Location

Street Address 412 N 4TH ST
SUITE 100
City BATON ROUGE
State LA
Zip Code 70802-5523

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710309216 Jmj Psychological Services, LLC Psychologist 412 N 4th St, Suite 100, Baton Rouge, LA 70802-5523 2014-01-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881113801 Mason D Ceasar Counselor 1520 Thomas H Delpit Dr Ste 219, Baton Rouge, LA 70802 2017-09-11
1508389800 Arlette Henderson Counselor 4776 Adams Street, Baton Rouge, LA 70802 2017-07-19
1306375738 Raven Turner Social Worker 1120 Spanish Town Rd, 108, Baton Rouge, LA 70802 2017-06-08
1528597176 Maya Harvey Case Manager/Care Coordinator 1520 Thomas H Delpit, Baton Rouge, LA 70802 2017-06-07
1124554324 Heart & Key Transportation, LLC Non-emergency Medical Transport (VAN) 1716 North 18th Street, Baton Rouge, LA 70802 2017-05-08
1730628769 Abriel Hunter Counselor 3173 Washington Ave., Baton Rouge, LA 70802 2017-02-23
1528506284 Brennan Manning Counselor 1520 Thomas Delpit St., Baton Rouge, LA 70802 2017-02-02
1124570163 Ty Hightower Counselor 1520 Thomas Delpit, Baton Rouge, LA 70802 2016-10-25
1386190924 Callesha Lashawn Young Counselor 1539 North 23rd Street, Baton Rouge, LA 70802 2016-09-01
1598118705 Shenquie Jackson Counselor 1520 Thomas H Delpit Dr Ste 125, Baton Rouge, LA 70802 2016-07-22
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Taxonomy Information

Taxonomy Code 103TP0016X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Prescribing (Medical)

Taxonomy Definition

Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders.
Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437159639 Kelly Paulk Ray Psychologist 7913 Wrenwood Blvd Ste A, Baton Rouge, LA 70809 2005-07-29
1417376047 Moturu Lalitha Kumari Psychologist 4983 Bluebonnet Blvd Ste A, Baton Rouge, LA 70809-3094 2014-04-10
1710309216 Jmj Psychological Services, LLC Psychologist 412 N 4th St, Suite 100, Baton Rouge, LA 70802-5523 2014-01-17
1578696555 Cherri E. Penton Psychologist 1805 College Dr, Baton Rouge, LA 70808-1919 2007-03-13
1629018585 Family Therapy Clinic of Louisiana, LLC Psychologist 8480 Bluebonnet Blvd Ste A, Baton Rouge, LA 70810-2879 2006-06-08
1629039987 Erich G Duchmann Psychologist 8480 Bluebonnet Blvd Ste A, Baton Rouge, LA 70810-2879 2006-03-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790297182 George S. Park, Phd., Mp., A Psychology Corporation Psychologist 2285 Benton Rd Ste 401, Bossier City, LA 71111-7933 2017-10-25
1669887907 John Courtney LLC Psychologist 118 Terra Bella Blvd, Suite 101, Covington, LA 70433-8148 2014-06-25
1730520925 Faw Services, LLC Psychologist 223 Bellingrath Pl, Madisonville, LA 70447-3421 2013-07-16
1134418502 Psychological Health Care of South Louisiana Psychologist 1016 Houma St, Houma, LA 70360-4420 2011-04-06
1922234566 Felicia Ann Whiteman Psychologist 2331 Carey St, Slidell, LA 70458-3627 2009-06-10
1861627465 Lakisha Shantell Williams Psychologist 1409 Kirkman St, Lake Charles, LA 70601-5344 2009-05-26
1710101373 Rebecca Faye Nolan Psychologist 111 Carroll St, Shreveport, LA 71105-4203 2007-04-12
1013131267 Dr. Maria B. Cruse Apmg Psychologist 604 North Acadia Road, Suite 201, Thibodaux, LA 70301 2007-04-12
1104925932 Williams Consulting Inc. Psychologist 1410 Royal Ave, Monroe, LA 71201-5608 2006-09-21
1043247331 Bryan L Bolwahnn Psychologist 100 Gayven Dr, Ball, LA 71405-4903 2006-06-26
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Competitor

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City BATON ROUGE
Zip Code 70802

Improve Information

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Dataset Information

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.

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