BIANCHINI-HOLCOMB (NPI# 1700276490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700276490 |
| Entity Type | Organization |
| Organization Name | BIANCHINI-HOLCOMB |
| Practice Address |
4050 Lonesome Rd Ste A Mandeville LA 70448-7085 |
| Mailing Address |
2901 N I 10 Service Rd E Ste 300 Metairie LA 70002-6137 |
| Practice Telephone | 9852462600 |
| Practice Fax Number | 9852466100 |
| Mailing Telephone | 5047801702 |
| Mailing Fax Number | 5047801705 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2016-10-25 |
| Authorized Official Name | KEVIN BIANCHINI (MANAGER MEMBER) |
| Authorized Official Telephone | 5047801702 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 1310 | LA | Behavioral Health & Social Service Providers |
| Street Address |
4050 LONESOME RD STE A |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70448-7085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043395148 | Shari Ann Taylor | Nurse Practitioner | 4050 Lonesome Rd Ste A, Mandeville, LA 70448-7085 | 2006-10-26 |
| 1881831683 | Lifenet Behavioral Health | Clinic/Center | 4050 Lonesome Rd Ste A, Mandeville, LA 70448 | 2009-01-15 |
| 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 | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841776077 | Anneliese Catherine Boettcher | Clinical Neuropsychologist | 1514 Jefferson Hwy Fl 6, New Orleans, LA 70121-2429 | 2018-07-11 |
| 1013392869 | Kimberly S Hutchinson | Clinical Neuropsychologist | 1 Lakeshore Dr Ste 1610, Lake Charles, LA 70629-0117 | 2015-07-22 |
| 1184967499 | Julie Anne Alvarez | Clinical Neuropsychologist | 1555 Poydras St Ste 1200, Southeast Louisiana Veterans Health Care System, New Orleans, LA 70112-3710 | 2013-04-04 |
| 1003165069 | Dian Evans | Clinical Neuropsychologist | 7000 Magazine St, New Orleans, LA 70118-4876 | 2012-09-06 |
| 1073826186 | Roquel A Williams | Clinical Neuropsychologist | 566 E 71st St, Shreveport, LA 71106-4404 | 2010-07-17 |
| 1295974210 | Gina Lynn Gibson | Clinical Neuropsychologist | 1602 W Pinhook Rd Ste 303, Lafayette, LA 70508-3735 | 2009-02-14 |
| 1508072216 | John Truman Fanning | Clinical Neuropsychologist | 4440 Canal Street, New Orleans, LA 70119-6021 | 2007-05-16 |
| 1265586085 | Psychological Resources, P.C. | Clinical Neuropsychologist | 5 Platt Dr, Kenner, LA 70065-1018 | 2007-01-22 |
| 1194877811 | Karen Rinardo Speier | Clinical Neuropsychologist | 650 Steele Boulevard, Baton Rouge, LA 70806-5742 | 2007-01-16 |
| 1114012614 | Vincent Anthony Escandell | Clinical Neuropsychologist | 2495 Shreveport, Highway 71 North, Pineville, LA 71360 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
| City | MANDEVILLE |
| Zip Code | 70448 |
Please comment or provide details below to improve the information on BIANCHINI-HOLCOMB.
| 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.