BIANCHINI-BOAKE, LLC (NPI# 1639492325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639492325 |
| Entity Type | Organization |
| Organization Name | BIANCHINI-BOAKE, LLC |
| Practice Address |
3939 Houma Blvd Ste 223 Metairie LA 70006-2931 |
| Practice Telephone | 5047801702 |
| Practice Fax Number | 5047801705 |
| Mailing Telephone | 5047801702 |
| Mailing Fax Number | 5047801705 |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |
| Authorized Official Name | CORWIN BOAKE (MEMBER) |
| Authorized Official Telephone | 5047801702 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
661 | LA | Behavioral Health & Social Service Providers |
| Street Address |
3939 HOUMA BLVD STE 223 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-2931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083105373 | Jonathan Hector Ligori | Physical Therapist | 3939 Houma Blvd, Bldg 5 Ste 17, Metairie, LA 70006 | 2018-05-23 |
| 1922539642 | Sean Buchta | Nurse Practitioner | 3939 Houma Blvd, Suite 21, Metairie, LA 70006-2931 | 2017-03-23 |
| 1811436629 | Lmg LLC | Orthopaedic Surgery | 3939 Houma Blvd, Suite 21, Metairie, LA 70006-2931 | 2017-02-14 |
| 1457809816 | Alayna Kristin Jolet | Physical Therapist | 3939 Houma Blvd, Ste 21, Metairie, LA 70006-2931 | 2016-09-14 |
| 1124477823 | Chad R Walker | Physical Therapy Assistant | 3939 Houma Blvd, Ste 21, Metairie, LA 70006-2931 | 2016-06-03 |
| 1346698990 | Nicholas J Usner | Physician Assistant | 3939 Houma Blvd, Ste 21, Metairie, LA 70006-2931 | 2016-05-24 |
| 1194198267 | Dustin Roussel | Clinic/Center | 3939 Houma Blvd, Ste 17, Metairie, LA 70006-2931 | 2015-11-11 |
| 1669881827 | Neil Romig | Physical Therapist | 3939 Houma Blvd, Suite 21, Metairie, LA 70006-2931 | 2014-08-12 |
| 1477960953 | Michael Guillory | Specialist/Technologist | 3939 Houma Blvd, #17 Doctors Row, Metairie, LA 70006-2931 | 2014-07-16 |
| 1134531486 | Ustdds, Inc. | Dentist | 3939 Houma Blvd, Building 3 Suite 11, Metairie, LA 70006-2931 | 2014-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
| Find all providers in zip 70006 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790297182 | George S. Park, Phd., Mp., A Psychology Corporation | Psychologist | 2285 Benton Rd Ste 401, Bossier City, LA 71111-7933 | 2017-10-25 |
| 1669887907 | John Courtney LLC | Psychologist | 118 Terra Bella Blvd, Suite 101, Covington, LA 70433-8148 | 2014-06-25 |
| 1730520925 | Faw Services, LLC | Psychologist | 223 Bellingrath Pl, Madisonville, LA 70447-3421 | 2013-07-16 |
| 1134418502 | Psychological Health Care of South Louisiana | Psychologist | 1016 Houma St, Houma, LA 70360-4420 | 2011-04-06 |
| 1922234566 | Felicia Ann Whiteman | Psychologist | 2331 Carey St, Slidell, LA 70458-3627 | 2009-06-10 |
| 1861627465 | Lakisha Shantell Williams | Psychologist | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2009-05-26 |
| 1710101373 | Rebecca Faye Nolan | Psychologist | 111 Carroll St, Shreveport, LA 71105-4203 | 2007-04-12 |
| 1013131267 | Dr. Maria B. Cruse Apmg | Psychologist | 604 North Acadia Road, Suite 201, Thibodaux, LA 70301 | 2007-04-12 |
| 1093860371 | Maxine Elizabeth Campbell-flint | Psychologist | 412 N 4th St, Suite 100, Baton Rouge, LA 70802-5523 | 2007-01-24 |
| 1104925932 | Williams Consulting Inc. | Psychologist | 1410 Royal Ave, Monroe, LA 71201-5608 | 2006-09-21 |
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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.