BIANCHINI-BOKELBERG, LLC (NPI# 1205154580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205154580 |
| Entity Type | Organization |
| Organization Name | BIANCHINI-BOKELBERG, LLC |
| Practice Address |
3939 Houma Blvd Ste 223 Metairie LA 70006-2931 |
| Practice Telephone | 5047801702 |
| Practice Fax Number | 5047801705 |
| Mailing Telephone | 5047801702 |
| Mailing Fax Number | 5047801705 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |
| Authorized Official Name | CARISSA L BOKELBERG (MEMBER) |
| Authorized Official Telephone | 5047801702 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1048 | LA | Behavioral Health & Social Service Providers |
| Street Address |
3939 HOUMA BLVD STE 223 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-2931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083105373 | Jonathan Hector Ligori | Physical Therapist | 3939 Houma Blvd, Bldg 5 Ste 17, Metairie, LA 70006 | 2018-05-23 |
| 1922539642 | Sean Buchta | Nurse Practitioner | 3939 Houma Blvd, Suite 21, Metairie, LA 70006-2931 | 2017-03-23 |
| 1811436629 | Lmg LLC | Orthopaedic Surgery | 3939 Houma Blvd, Suite 21, Metairie, LA 70006-2931 | 2017-02-14 |
| 1457809816 | Alayna Kristin Jolet | Physical Therapist | 3939 Houma Blvd, Ste 21, Metairie, LA 70006-2931 | 2016-09-14 |
| 1124477823 | Chad R Walker | Physical Therapy Assistant | 3939 Houma Blvd, Ste 21, Metairie, LA 70006-2931 | 2016-06-03 |
| 1346698990 | Nicholas J Usner | Physician Assistant | 3939 Houma Blvd, Ste 21, Metairie, LA 70006-2931 | 2016-05-24 |
| 1194198267 | Dustin Roussel | Clinic/Center | 3939 Houma Blvd, Ste 17, Metairie, LA 70006-2931 | 2015-11-11 |
| 1669881827 | Neil Romig | Physical Therapist | 3939 Houma Blvd, Suite 21, Metairie, LA 70006-2931 | 2014-08-12 |
| 1477960953 | Michael Guillory | Specialist/Technologist | 3939 Houma Blvd, #17 Doctors Row, Metairie, LA 70006-2931 | 2014-07-16 |
| 1134531486 | Ustdds, Inc. | Dentist | 3939 Houma Blvd, Building 3 Suite 11, Metairie, LA 70006-2931 | 2014-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
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| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972758639 | Adrianne M Brennan | Psychologist | 433 Metairie Rd Ste 615, Metairie, LA 70005-4326 | 2008-11-22 |
| 1497895262 | Mercy Family Center | Psychologist | 110 Veterans Memorial Blvd., Suite 425, Metairie, LA 70005-4959 | 2007-02-08 |
| 1063473213 | Claire Dianne Peebles | Psychologist | 4517 Lorino St, Metairie, LA 70006-2323 | 2006-03-29 |
| 1609163351 | Sisters of Mercy Ministries D/b/a Mercy Family Center | Psychologist | 110 Veterans Memorial Blvd Ste 425, Metairie, LA 70005-4959 | 2011-07-01 |
| 1992028765 | Bianchini-topolosky, LLC | Psychologist | 3939 Houma Blvd, Ste 223, Metairie, LA 70006-2931 | 2010-03-09 |
| 1013057967 | Katherine A Robison | Psychologist | 3350 Ridgelake Dr, Suite 100, Metairie, LA 70002-3836 | 2007-02-08 |
| 1932246014 | Lisa L'rue Arceneaux | Psychologist | 110 Veterans Blvd, Suite 425, Metairie, LA 70005-3027 | 2007-01-30 |
| 1033260849 | William E Fowler | Psychologist | 3351 Severn Ave, Suite 301, Metairie, LA 70002-7414 | 2007-01-16 |
| 1477577922 | Scuddy F. Fontenelle IIi | Psychologist | 118 Ridgelake Dr, Metairie, LA 70001-5312 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750928693 | Adrianne M Brennan Phd | Psychologist | 110 James Dr W, Saint Rose, LA 70087-4027 | 2019-12-10 |
| 1760647663 | William E Fowler | Psychologist | 309 Crystal St, New Orleans, LA 70124-2619 | 2008-07-21 |
| 1598926644 | Jerald W Bamburg Jr. | Psychologist | 106 N Bend Dr, Pineville, LA 71360-4677 | 2008-06-20 |
| 1548456189 | Courtney N. Baker | Psychologist | 6400 Freret St, Psychology Dept., 2007 Percival Stern Hall, New Orleans, LA 70118-5636 | 2007-09-18 |
| 1447310289 | Peter Clark | Psychologist | 203 W 21st Ave, Covington, LA 70433-3151 | 2006-12-11 |
| 1831750645 | Kasia Plessy | Psychologist | 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 | 2019-06-23 |
| 1114588142 | Jamil Monique Gilliam | Psychologist | 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 | 2019-06-20 |
| 1891351326 | Bianchini-esteve-edwards LLC | Psychologist | 7252 Lakeshore Dr, New Orleans, LA 70124-2433 | 2019-05-09 |
| 1578025185 | Margaret Smith | Psychologist | 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 | 2019-04-02 |
| 1871089763 | Gulf South Br - Aba, LLC | Psychologist | 9063 Siegen Ln Ste A, Baton Rouge, LA 70810 | 2018-07-03 |
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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.