GULF SOUTH PSYCHIATRY, LLC (NPI# 1568768679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568768679 |
| Entity Type | Organization |
| Organization Name | GULF SOUTH PSYCHIATRY, LLC |
| Practice Address |
1924 Corporate Square Dr Suite D Slidell LA 70458-3164 |
| Mailing Address |
1924 Corporate Square Dr Slidell LA 70458-3164 |
| Practice Telephone | 9857810548 |
| Practice Fax Number | 9857814319 |
| Mailing Telephone | 9857810548 |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |
| Authorized Official Name | HARMINDER S MALLIK (PRESIDENT) |
| Authorized Official Telephone | 9857810548 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
MD10912R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | STATE LICENSE10912R | MD10912R | 01 |
| Street Address |
1924 CORPORATE SQUARE DR SUITE D |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-3164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023183498 | Eric Oleson | Social Worker | 1924 Corporate Square Dr, Slidell, LA 70458-3164 | 2006-11-21 |
| 1770619884 | Anna Olinde | Social Worker | 1924 Corporate Square Dr, Suite E, Slidell, LA 70458-3164 | 2007-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518272129 | Keith B. Kessel M.d., LLC | Psychiatry & Neurology | 745 Olive St Ste 109, Shreveport, LA 71104-2250 | 2010-08-09 |
| 1467544700 | James H Phillips | Psychiatry & Neurology | Attn: Credentials Coordinator, 510 East Stoner Avenue, Shreveport, LA 71101-4243 | 2006-09-28 |
| 1265784094 | Thibodaux Regional Network Development Corporation | Psychiatry & Neurology | 602 N Acadia Rd, Thibodaux, LA 70301-4847 | 2012-10-03 |
| 1568777480 | Atluri & Associates, LLC | Psychiatry & Neurology | 8542 Siegen Ln, Baton Rouge, LA 70810-1940 | 2010-08-16 |
| 1114256476 | Wk Shreveport Center for Geriatric Health | Psychiatry & Neurology | 2508 Bert Kouns Loop, Suite 303, Shreveport, LA 71118-3133 | 2009-12-16 |
| 1184800724 | Hardtner Medical Center | Psychiatry & Neurology | 1102 N Pine Rd, Olla, LA 71465-4804 | 2008-01-14 |
| 1942414552 | Jeffrey T Overdyke | Psychiatry & Neurology | 2508 Bert Kouns Loop, Suite 303, Shreveport, LA 71118-3133 | 2007-05-10 |
| 1356328074 | Navin P Patel | Psychiatry & Neurology | 3600 Florida Blvd, Room 4613, Baton Rouge, LA 70806-3842 | 2005-12-22 |
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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.