MADDISON EBERHARDT (NPI# 1669901419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669901419 |
| Entity Type | Individual |
| Full Name | MADDISON EBERHARDT |
| Credential | BS |
| Practice Address |
8676 Goodwood Blvd Ste 105 Baton Rouge LA 70806-7914 |
| Practice Telephone | 2256365817 |
| Mailing Telephone | 2256365817 |
| Mailing Fax Number | 8665079329 |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2017-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
8676 GOODWOOD BLVD STE 105 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-7914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174683064 | Reynelda Lashawn Gipson-armstrong | Counselor | 8676 Goodwood Blvd Ste 105, Baton Rouge, LA 70806-7914 | 2006-12-11 |
| 1902304934 | Rikia Ancar | Case Manager/Care Coordinator | 8676 Goodwood Blvd Ste 105, Baton Rouge, LA 70806 | 2018-01-24 |
| 1780182717 | Crystal Monel Franklin | Case Manager/Care Coordinator | 8676 Goodwood Blvd Ste 105, Baton Rouge, LA 70806 | 2018-01-24 |
| 1215466743 | Sharae Richelle Vicknair | Counselor | 8676 Goodwood Blvd Ste 105, Baton Rouge, LA 70806-7914 | 2017-06-08 |
| 1144677303 | Tasha H Dugan | Counselor | 8676 Goodwood Blvd Ste 105, Baton Rouge, LA 70806-7914 | 2016-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306477583 | Baton Rouge General Medical Center | Psychologist | 3600 Florida St Ste 4nw, Baton Rouge, LA 70806-3842 | 2020-01-28 |
| 1174036941 | Thompson Elder Davis IIi | Psychologist | 10537 Kentshire Ct Apt B, Baton Rouge, LA 70810-2985 | 2017-11-14 |
| 1881057610 | Ilivelife.org | Psychologist | 5583 Hermitage Dr, Baton Rouge, LA 70806-1904 | 2016-03-30 |
| 1225303894 | Catherine Minch Heard | Psychologist | 7932 Summa Ave Ste B2, Baton Rouge, LA 70809-3736 | 2012-03-15 |
| 1780900803 | Ann Pittman | Psychologist | 11736 Newcastle Ave, Baton Rouge, LA 70816-8933 | 2010-04-14 |
| 1548476880 | Robert Nevels | Psychologist | 2320 Drusilla Ln Ste E, Baton Rouge, LA 70809-1495 | 2007-05-15 |
| 1578785366 | Randall Louis Lemoine | Psychologist | 650 Steele Blvd, Baton Rouge, LA 70806-5742 | 2007-05-03 |
| 1962626820 | Kristin Savicki | Psychologist | 628 N 4th St, Baton Rouge, LA 70802-5342 | 2007-04-12 |
| 1538201827 | Saundra Daigle | Psychologist | 8748 Quarters Lake Rd, Baton Rouge, LA 70809-2198 | 2007-02-13 |
| 1134274038 | Alicia Pellegrin | Psychologist | 10517 Kentshire Ct, Baton Rouge, LA 70810-2853 | 2007-01-24 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
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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.