DONNA BOUDREAUX (NPI# 1457786659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457786659 |
| Entity Type | Individual |
| Full Name | DONNA BOUDREAUX |
| Credential | PH.D. |
| Practice Address |
119 Rue Fontaine Lafayette LA 70508 |
| Practice Telephone | 3374009395 |
| Practice Fax Number | 3379919165 |
| Mailing Telephone | 3374009395 |
| Mailing Fax Number | 3379919165 |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1238 | LA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1238 | LA | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
1238 | LA | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
1238 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588820823 | Donna P Boudreaux | Occupational Therapist | 2727 Kaliste Saloom Rd, 101, Lafayette, LA 70508-7151 | 2008-08-06 |
| 1376560144 | Donna M Boudreaux | Registered Nurse | 1112 E Ascension Complex Blvd, Gonzales, LA 70737-4265 | 2006-07-16 |
| Street Address |
119 RUE FONTAINE |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285711770 | Joni L Orazio | Psychiatry & Neurology | 119 Rue Fontaine, Lafayette, LA 70508 | 2006-11-01 |
| 1457438947 | Charles E Bramlet Jr. | Psychiatry & Neurology | 119 Rue Fontaine, Lafayette, LA 70508 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104000223 | Juliet Conners Blevins | Psychologist | 1200 W South Boulder Rd Ste 204, Lafayette, CO 80026-2833 | 2007-12-26 |
| 1699083261 | Michael Berard, Ph.d., M.p., A Professional Psychology Corporation | Psychologist | 601 W Saint Mary Blvd, Suite 406, Lafayette, LA 70506-3568 | 2010-09-16 |
| 1700068418 | Travis Scott Blevins | Psychologist | 1200 W South Boulder Rd, Ste. 204, Lafayette, CO 80026-3546 | 2007-12-04 |
| 1457474983 | Alfred E Buxton | Psychologist | 155 Hospital Dr, Suite 200, Lafayette, LA 70503-2852 | 2007-04-09 |
| 1497883110 | B & L Management Co. of Lafayette, Inc. | Psychologist | 913 S College Rd, Ste. 204, Lafayette, LA 70503-3060 | 2007-03-02 |
| 1629129804 | Brian Clark | Psychologist | 954 Risa Rd, Suite A, Lafayette, CA 94549-3418 | 2007-01-15 |
| 1720020159 | Michael Berard | Psychologist | 601 W Saint Mary Blvd, Suite 406, Lafayette, LA 70506-3568 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184263758 | Bianchini-skaff Medical Psychology LLC | Psychologist | 3939 Houma Blvd Ste 223, Metairie, LA 70006-2923 | 2019-12-31 |
| 1871098285 | Matthiaus Guidry | Psychologist | 7634 La Hwy 700, Kaplan, LA 70548-6122 | 2018-03-27 |
| 1245640176 | Acm Behavioral Psychology LLC | Psychologist | 4500 Clearview Pkwy Ste 100, Metairie, LA 70006-2350 | 2014-04-30 |
| 1083749014 | Erin Skaff | Psychologist | 3939 Houma Blvd., Suite 223, Metairie, LA 70006-0000 | 2007-02-22 |
| 1255375978 | Helping Hands for Community Development, Inc. | Psychologist | 2405 Line Ave, Shreveport, LA 71104-3019 | 2006-06-15 |
| 1811315179 | Kenneth Richard | Psychologist | 1120 W Hutchinson Ave, Crowley, LA 70526-4124 | 2014-04-03 |
| 1316379464 | Santino Lovullo | Psychologist | 5700 Citrus Blvd Ste A1, New Orleans, LA 70123-8505 | 2013-07-31 |
| 1639316656 | Michelle Ann Stiaes | Psychologist | 4460 General Meyer Ave, New Orleans, LA 70131-3529 | 2009-01-13 |
| 1417102179 | Phillip Thomas Stepka | Psychologist | 137 N Clark St, New Orleans, LA 70119-5207 | 2008-11-22 |
| 1407055023 | Bianchini-wolfson LLC | Psychologist | 3939 Houma Blvd, Suite #223, Metairie, LA 70006-2931 | 2007-07-13 |
| Find all providers with the same taxonomy | ||||
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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.