DR. JOHN BRANDON WAITS (NPI# 1528331154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528331154 |
| Entity Type | Individual |
| Full Name | DR. JOHN BRANDON WAITS |
| Credential | PH.D. |
| Practice Address |
206 E Reynolds Dr Ste F2 Ruston LA 71270-2809 |
| Mailing Address |
2306 Cooktown Rd Ruston LA 71270-2100 |
| Practice Telephone | 3182247223 |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2019-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
1488 | LA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3444 Wisconsin Ave, Vicksburg, MS 391805331 | 6016380031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962422337 | John Bryan Waits | Family Medicine | 405 Belcher St, Centreville, AL 35042-2946 | 2006-07-20 |
| 1396779161 | John Otis Waits | Surgery | 1325 Mcfarland Blvd, Northport, AL 35476-3270 | 2006-07-10 |
| Street Address |
206 E REYNOLDS DR STE F2 |
| City | RUSTON |
| State | LA |
| Zip Code | 71270-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215545280 | Florence Cristina Brooks | Nurse Practitioner | 206 E Reynolds Dr Ste F2, Ruston, LA 71270-2809 | 2020-07-16 |
| 1710519418 | Angella Livingston | Counselor | 206 E Reynolds Dr Ste F2, Ruston, LA 71270-2809 | 2020-02-10 |
| 1356986376 | Shaterrica Denae Maloney | Counselor | 206 E Reynolds Dr Ste F2, Ruston, LA 71270-2809 | 2019-11-13 |
| 1346890498 | Shalacey Bertrand | Counselor | 206 E Reynolds Dr Ste F2, Ruston, LA 71270-2809 | 2019-09-19 |
| 1205398211 | John Gingles | Counselor | 206 E Reynolds Dr Ste F2, Ruston, LA 71270-2809 | 2019-04-01 |
| 1477010338 | Dena Marie Abbott | Psychologist | 206 E Reynolds Dr Ste F2, Ruston, LA 71270-2809 | 2019-02-27 |
| 1215415229 | Center for Counseling & Psychological Resources | Counselor | 206 E Reynolds Dr Ste F2, Ruston, LA 71270-2809 | 2018-08-01 |
| 1649662529 | Laura Lingle Evans | Social Worker | 206 E Reynolds Dr Ste F2, Ruston, LA 71270-2809 | 2015-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
| 1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
| Find all providers in zip 71270 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235570573 | Walter C Buboltz Jr. | Psychologist | 2101 Walnut Ave, Ruston, LA 71270-5145 | 2013-07-15 |
| 1790915189 | Eric Deemer | Psychologist | 2419 Redwood St, Ruston, LA 71270-7132 | 2009-07-20 |
| 1720035645 | David Lanson Wheeler | Psychologist | 1401 Ezell Street, Ruston, LA 71270 | 2006-05-27 |
| 1477010338 | Dena Marie Abbott | Psychologist | 206 E Reynolds Dr Ste F2, Ruston, LA 71270-2809 | 2019-02-27 |
| 1720469570 | Buboltz & Associates, LLC | Psychologist | 2101 Walnut Ave, Ruston, LA 71270-5145 | 2015-06-17 |
| 1114332038 | Aimee Blackham | Psychologist | 617 S Trenton St, Ruston, LA 71270-5040 | 2014-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973162 | Shaunda Johnson | Psychologist | 150 Industrial Pkwy, Lafayette, LA 70508-8309 | 2019-07-10 |
| 1780247312 | Samuel Toney | Psychologist | 343 Blankston Rd, Monroe, LA 71202-9620 | 2019-04-18 |
| 1457840811 | Laura Harris | Psychologist | 3218 Line Ave Ste 111, Shreveport, LA 71104-4261 | 2018-05-01 |
| 1174985238 | Bobby Kizer Phd LLC | Psychologist | 6851 Memphis St, New Orleans, LA 70124-3341 | 2016-03-27 |
| 1700270857 | Sherri Transier | Psychologist | 2495 Shreveport Highway 71, Alexandria Va Health Care System, Pineville, LA 71360 | 2015-03-26 |
| 1639474810 | Amanda Marie Norris | Psychologist | 126 Choctaw Dr, West Monroe, LA 71291-7031 | 2011-01-19 |
| 1790910453 | Benjamin D Arnold Psychologist LLC | Psychologist | 300 Edgewood Drive, Pineville, LA 71360-5445 | 2009-05-26 |
| 1104061639 | Arthur Merriam Ruggles | Psychologist | 2620 Centenary Blvd., Bldg.3,, Ste. 304 Meece & Associates, L.L.C., Shreveport, LA 71104 | 2008-12-12 |
| 1437281953 | Rebecca Lynne Wilkinson | Psychologist | 410 Saint Philip St Ste C, Thibodaux, LA 70301-3141 | 2007-03-10 |
| 1902938533 | Joseph Orlando Vigil | Psychologist | 3030 Pine Pl, Mandeville, LA 70448-4875 | 2007-03-09 |
| 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.