DR. JERALD W BAMBURG JR. (NPI# 1598926644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598926644 |
| Entity Type | Individual |
| Full Name | DR. JERALD W BAMBURG JR. |
| Credential | PH.D. |
| Practice Address |
106 N Bend Dr Pineville LA 71360-4677 |
| Practice Telephone | 3184424498 |
| Mailing Telephone | 3184424498 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2010-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
951 | LA | Behavioral Health & Social Service Providers |
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
951 | LA | Behavioral Health & Social Service Providers |
| Street Address |
106 N BEND DR |
| City | PINEVILLE |
| State | LA |
| Zip Code | 71360-4677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083862353 | Bamburg Consulting, Inc. | Psychologist | 106 N Bend Dr, Pineville, LA 71360-4677 | 2008-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110789 | Reneisha Armonii Roberts | Pharmacist | 3100 La-28, Pineville, LA 71360 | 2019-08-22 |
| 1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
| 1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
| 1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
| 1215421995 | Elizabeth Simon-clark | Counselor | Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360 | 2018-06-18 |
| 1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
| 1508384587 | Marion Patrick Hazelton I | Counselor | Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane, Pineville, LA 71360 | 2017-08-30 |
| 1669902557 | Jessica Williams | Social Worker | Unit 6 Wing A Meadow Lane, Pineville, LA 71360 | 2017-06-14 |
| 1104365840 | Naomi Gates | Social Worker | 242 W Shamrock Unit 1, Pineville, LA 71360 | 2017-02-14 |
| 1861930224 | Sharon Humphrey | Counselor | 5400 Service Rd B206, Pineville, LA 71360 | 2017-02-06 |
| Find all providers in zip 71360 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199053 | Carolnise Gibson | Psychologist | 353 Stubbs Mccormick Rd, Monroe, LA 71203-9412 | 2020-06-22 |
| 1679734917 | Victoria Cooper Swanson | Psychologist | 200 Kings Cove Cir, Lafayette, LA 70508-0216 | 2008-06-19 |
| 1215149950 | Louisiana Health & Rehabilitation Coptions | Psychologist | 930 Webb St, Lafayette, LA 70501-3930 | 2007-05-04 |
| 1538371240 | Louisiana Health & Rehabilitation Coptions | Psychologist | 1033 N Lobdell Ave, Baton Rouge, LA 70806-2233 | 2007-05-04 |
| 1093376550 | Kimberly Smith Martin | Psychologist | 1539 Jackson Ave Ste 300, New Orleans, LA 70130-5863 | 2019-06-25 |
| 1578968970 | Marc Hendler | Psychologist | 3616 S I 10 Service Rd W, Metairie, LA 70001-1874 | 2014-10-28 |
| 1063787224 | Heather Elise Sterling | Psychologist | 214 Jefferson St, Suite 301, Lafayette, LA 70501-7050 | 2012-03-20 |
| 1578866778 | Donna Aucoin Ph.d & Associates LLC | Psychologist | 5000 Ambassador Caffery Pkwy, Province Bldg 13, Lafayette, LA 70508-6984 | 2010-12-09 |
| 1255657243 | Tonya Sue Jackson | Psychologist | 2006 Gus Kaplan Dr, Alexandria, LA 71301-3376 | 2010-04-15 |
| 1972750057 | Louisiana Health & Rehabilitation Coptions | Psychologist | 1701 Main St, Baton Rouge, LA 70802-3764 | 2008-08-20 |
| 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.