JERRY L WHITEMAN (NPI# 1215996095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215996095 |
| Entity Type | Individual |
| Full Name | JERRY L WHITEMAN |
| Credential | PHD. |
| Practice Address |
2829 4th Ave 150 Lake Charles LA 70601-7887 |
| Practice Telephone | 3374777091 |
| Practice Fax Number | 3374744552 |
| Mailing Telephone | 3374777091 |
| Mailing Fax Number | 3374744552 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2010-12-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 407 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1125466 | 05 |
| Street Address |
2829 4TH AVE 150 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-7887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760464796 | Charles A Murphy IIi | Psychiatry & Neurology | 2829 4th Ave, 150, Lake Charles, LA 70601-7887 | 2005-11-16 |
| 1013552801 | Mya Tenae Sonnier | Case Manager/Care Coordinator | 2829 4th Ave, Lake Charles, LA 70601-7887 | 2019-11-15 |
| 1043852502 | Mallory Breaux | Case Manager/Care Coordinator | 2829 4th Ave, Lake Charles, LA 70601-7887 | 2019-10-16 |
| 1598313512 | Pamela Kay Vidrine | Case Manager/Care Coordinator | 2829 4th Ave, Lake Charles, LA 70601-7887 | 2019-09-03 |
| 1851958557 | Tamara Reed | Case Manager/Care Coordinator | 2829 4th Ave, Lake Charles, LA 70601-7887 | 2019-05-29 |
| 1679130371 | Sherjaique Diaz-means | Case Manager/Care Coordinator | 2829 4th Ave, Lake Charles, LA 70601-7887 | 2019-05-29 |
| 1225695927 | Sarah King | Case Manager/Care Coordinator | 2829 4th Ave, Lake Charles, LA 70601-7887 | 2019-05-29 |
| 1396303087 | Macy Guillory | Case Manager/Care Coordinator | 2829 4th Ave, Lake Charles, LA 70601-7887 | 2019-05-29 |
| 1104382191 | Kathryn N Burleigh | Case Manager/Care Coordinator | 2829 4th Ave, Lake Charles, LA 70601-7887 | 2019-02-14 |
| 1730657446 | Bailey Vallot | Case Manager/Care Coordinator | 2829 4th Ave, Lake Charles, LA 70601-7887 | 2018-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801230651 | Burton Ashworth | Psychologist | 3501 5th Ave, Ste A, Lake Charles, LA 70607-2155 | 2013-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306477583 | Baton Rouge General Medical Center | Psychologist | 3600 Florida St Ste 4nw, Baton Rouge, LA 70806-3842 | 2020-01-28 |
| 1255972618 | Brenna Sapotichne | Psychologist | 42334 Deluxe Plz Ste 2, Hammond, LA 70403-1237 | 2019-10-07 |
| 1942850615 | Shannon R. Bierma | Psychologist | 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 | 2019-09-16 |
| 1154809754 | Adam Michael Lewis | Psychologist | Alexandria Va Health Care System, 2495 Shreveport Hwy, Psychology Service (116b), Pineville, LA 71360-4044 | 2018-08-06 |
| 1922516301 | Michael Catalanello, Ph.d.,llc | Psychologist | 1250 Sw Railroad Ave Ste 240b, Hammond, LA 70403-5065 | 2018-01-18 |
| 1659888253 | Kevin A Velasquez | Psychologist | 81 Lake Lynn Dr, Harvey, LA 70058 | 2018-01-04 |
| 1174036941 | Thompson Elder Davis IIi | Psychologist | 10537 Kentshire Ct Apt B, Baton Rouge, LA 70810-2985 | 2017-11-14 |
| 1902318504 | Tammy Marie Savoie | Psychologist | 500 Turquoise St, New Orleans, LA 70124-2533 | 2017-11-04 |
| 1881110906 | Santana Harper | Psychologist | 5523 Wildair Dr., Apt A, New Orleans, LA 70122 | 2017-08-21 |
| 1558882308 | Allison Asher | Psychologist | 1539 Jackson Ave Ste 300, New Orleans, LA 70130-5863 | 2017-07-02 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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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.