DR. THOMAS E STAATS (NPI# 1760536510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760536510 |
| Entity Type | Individual |
| Full Name | DR. THOMAS E STAATS |
| Credential | PHD |
| Practice Address |
4300 Youree Dr Suite 200 Shreveport LA 71105-3329 |
| Practice Telephone | 3188610194 |
| Practice Fax Number | 3188610284 |
| Mailing Telephone | 3188610194 |
| Mailing Fax Number | 3188610284 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2013-12-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 254 | LA | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
254 | LA | Behavioral Health & Social Service Providers |
| Street Address |
4300 YOUREE DR SUITE 200 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-3329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295749257 | Bridges To Inc. | Plastic Surgery | 4300 Youree Dr, Suite 300, Shreveport, LA 71105-3329 | 2006-07-27 |
| 1205219235 | Caleb Lytle | Counselor | 4300 Youree Dr, Ste 320-d, Shreveport, LA 71105-3329 | 2015-07-08 |
| 1710242805 | Williams Counseling Services of Shreveport, LLC | Community/Behavioral Health | 4300 Youree Dr, Suite 320-a, Shreveport, LA 71105-3329 | 2012-07-05 |
| 1982927547 | William James Livigni | Counselor | 4300 Youree Dr, Suite 3220-b, Shreveport, LA 71105-3329 | 2010-03-10 |
| 1588858104 | Comprehensive Assessments, Inc | Clinical Neuropsychologist | 4300 Youree Dr, Suite 200 Building 2, Shreveport, LA 71105-3329 | 2007-08-28 |
| 1356355036 | Ronzee Mcintyre Bridges | Plastic Surgery | 4300 Youree Dr, Suite 300, Shreveport, LA 71105-3329 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| 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 |
|---|---|---|---|---|
| 1073826186 | Roquel A Williams | Clinical Neuropsychologist | 566 E 71st St, Shreveport, LA 71106-4404 | 2010-07-17 |
| 1649370495 | Samuel Webb Sentell | Clinical Neuropsychologist | 649 Millicent Way, Shreveport, LA 71106 | 2006-09-22 |
| 1386612042 | Ronald A. Goebel | Clinical Neuropsychologist | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2006-03-09 |
| 1265972095 | Jan E. Whitaker | Clinical Neuropsychologist | 2525 Youree Dr, Shreveport, LA 71104-3671 | 2017-02-27 |
| 1912145640 | Tiffany Ann Jennings | Clinical Neuropsychologist | 920 Pierremont Rd, Ste 205, Shreveport, LA 71106-2093 | 2009-02-03 |
| 1588858104 | Comprehensive Assessments, Inc | Clinical Neuropsychologist | 4300 Youree Dr, Suite 200 Building 2, Shreveport, LA 71105-3329 | 2007-08-28 |
| 1174534259 | John Nicholson Leavitt | Clinical Neuropsychologist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2006-08-11 |
| 1609809912 | James B Pinkston | Clinical Neuropsychologist | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2006-07-09 |
| 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 |
| 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 |
| 1083637698 | James W. Quillin | Clinical Neuropsychologist | 1016 Calais Cir, Alexandria, LA 71303-2307 | 2006-07-25 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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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.