NAMI ST. TAMMANY (NPI# 1578037776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578037776 |
| Entity Type | Organization |
| Organization Name | NAMI ST. TAMMANY |
| Practice Address |
23515 Highway 190 Mandeville LA 70448-7334 |
| Mailing Address |
Po Box 2055 Mandeville LA 70470-2055 |
| Practice Telephone | 9856266538 |
| Mailing Telephone | 9856266538 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |
| Authorized Official Name | ERICA FOLSE (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 9856266538 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NAMI ST TAMMANY | 23515 Hwy 190, Mandeville, LA 70448-7334 |
| Street Address |
23515 HIGHWAY 190 |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70448-7334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811011489 | Hossam Abou-taleb | Psychiatry & Neurology | 23515 Highway 190, Mandeville, LA 70448 | 2007-03-19 |
| 1174163919 | Amy Jo Griffin | Licensed Practical Nurse | 23515 Highway 190, Mandeville, LA 70448-7334 | 2020-01-09 |
| 1851934384 | Kathy Ann Bounds | Registered Nurse | 23515 Highway 190, Mandeville, LA 70448-7334 | 2019-10-28 |
| 1831755628 | Brenda Ann Martin | Occupational Therapy Assistant | 23515 Highway 190, Mandeville, LA 70448-7334 | 2019-05-16 |
| 1265950984 | Celeste Walther-moran | Social Worker | 23515 Highway 190, Mandeville, LA 70448-7334 | 2017-09-01 |
| 1154855781 | Northlake Physicians Group | Psychiatry & Neurology | 23515 Highway 190, Mandeville, LA 70448-7334 | 2017-04-20 |
| 1750812541 | Kasandra Harper | Social Worker | 23515 Highway 190, Mandeville, LA 70448-7334 | 2017-03-23 |
| 1174075451 | Patricia Soteropulos | Registered Nurse | 23515 Highway 190, Mandeville, LA 70448-7334 | 2016-11-02 |
| 1104376342 | Fphsa | Substance Abuse Rehabilitation Facility | 23515 Highway 190, Mandeville, LA 70448-7334 | 2016-10-12 |
| 1225496466 | Kristin Robinson | Nurse Practitioner | 23515 Highway 190, Mandeville, LA 70448-7334 | 2016-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1346712957 | Start Corporation | Clinic/Center | 23251 South Robin Road, Mandeville, LA 70448 | 2018-12-20 |
| 1952870362 | Oh Project-lafayette | Community/Behavioral Health | 23515 Us 190, Northlake Academy Building, Mandeville, LA 70448 | 2018-11-14 |
| 1083113187 | Amanda Stokes Barker | Occupational Therapist | 1903 University Dr, Mandeville, LA 70448 | 2018-02-05 |
| 1629594544 | Ochsner Clinic LLC | Internal Medicine | 3235 E Causeway Approach, Mandeville, LA 70448 | 2017-08-22 |
| 1831628288 | Katherine Lea Gristina | Speech-Language Pathologist | 307 Copal Street, Mandeville, LA 70448 | 2017-06-08 |
| 1154779551 | Jonathan Ferguson | Specialist/Technologist | 26301 La-1088, Mandeville, LA 70448 | 2016-05-26 |
| 1568821874 | Raymond Wallace IIi | Licensed Vocational Nurse | 23861 South Robin Rd, Mandeville, LA 70448 | 2016-02-15 |
| 1548629140 | Martha Miller | Clinical Nurse Specialist | 400 Mariner's Blvd, Mandeville, LA 70448 | 2016-02-11 |
| 1023483435 | Tina Marie Catalano | Licensed Practical Nurse | 23861 South Robin Road, Mandeville, LA 70448 | 2015-12-10 |
| Find all providers in zip 70448 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762317 | Nancy Lynn Berg | Peer Specialist | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2020-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1225661705 | Catrina Renee Chavis | Peer Specialist | 513 E 5th St, Deridder, LA 70634-7080 | 2020-02-12 |
| 1093347379 | Koti Trahan | Peer Specialist | 550 Melrose Dr, La Place, LA 70068-3512 | 2020-02-05 |
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1275173460 | Roshon Shantell Lloyd | Peer Specialist | 2048 Waters Dr, Marrero, LA 70072-4633 | 2020-01-15 |
| 1114567302 | Ruth Bermudez | Peer Specialist | 4747 Earhart Blvd Suite D, New Orleans, LA 70127 | 2020-01-15 |
| 1386284693 | Derrick D Landry | Peer Specialist | 7812 Shelly St, New Orleans, LA 70126-1435 | 2020-01-14 |
| 1922648203 | Cameron Ray Pogue | Peer Specialist | 1011 Malcolm St, Franklin, LA 70538-4341 | 2020-01-14 |
| Find all providers with the same taxonomy | ||||
| City | MANDEVILLE |
| Zip Code | 70448 |
Please comment or provide details below to improve the information on NAMI ST. TAMMANY.
| 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.