UPTOWN NOLA PSYCH LLC (NPI# 1821531104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821531104 |
| Entity Type | Organization |
| Organization Name | UPTOWN NOLA PSYCH LLC |
| Practice Address |
7611 Maple St Suite B3 New Orleans LA 70118-5068 |
| Mailing Address |
1315 Walnut St Suite 805 Philadelphia PA 19107-4719 |
| Practice Telephone | 5042327338 |
| Practice Fax Number | 5043231992 |
| Mailing Telephone | 2158059445 |
| Mailing Fax Number | 2155458496 |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |
| Authorized Official Name | DR. LEO J BURKE III (MEDICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 5042327338 |
| Authorized Official Credential | MP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
1375 | LA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1375 | LA | Behavioral Health & Social Service Providers |
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
MP304056 | LA | Behavioral Health & Social Service Providers |
| Street Address |
7611 MAPLE ST SUITE B3 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70118-5068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831228543 | Phyllis B Wallo | Psychiatry & Neurology | 7611 Maple St, Suite A1, New Orleans, LA 70118-5068 | 2007-03-06 |
| 1295216612 | Elizabeth Wellman | Social Worker | 7611 Maple St, New Orleans, LA 70118-5068 | 2018-08-23 |
| 1669924189 | Leo J Burke IIi Psyd PC | Psychologist | 7611 Maple St, Suite B3, New Orleans, LA 70118-5068 | 2016-11-01 |
| 1508236050 | Martin Mental Health | Community/Behavioral Health | 7611 Maple St, Suite A-3, New Orleans, LA 70118-5068 | 2015-09-27 |
| 1063897114 | Charles Genre | Counselor | 7611 Maple St, Suite B1, New Orleans, LA 70118-5068 | 2015-07-29 |
| 1336546894 | Sarah E Albert | Counselor | 7611 Maple St, Suite A, New Orleans, LA 70118-5068 | 2014-11-28 |
| 1093995557 | Nicholas George Thompson | Chiropractor | 7611 Maple St, Suite 101c, New Orleans, LA 70118-5068 | 2007-11-13 |
| 1154515955 | Gordon A Dubois | Chiropractor | 7611 Maple St, Suite 101c, New Orleans, LA 70118-5068 | 2007-09-05 |
| 1922216761 | Wester Joseph Perret Jr. | Social Worker | 7611 Maple St, New Orleans, LA 70118-5068 | 2007-05-17 |
| 1689888687 | Andre Georges Stern | Social Worker | 7611 Maple St, Ste. D, New Orleans, LA 70118-5068 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791831 | The Administrators of The Tulane Educational Fund | Clinic/Center | 200 Broadway Avenue, Suite 108, New Orleans, LA 70118 | 2020-08-19 |
| 1730674557 | Louisiana Department of Health, Department of Health and Hospitals | Skilled Nursing Facility | 612 Henry Clay Ave., New Orleans, LA 70118 | 2018-06-25 |
| 1588153167 | Kimberly Felicia Fields | Behavior Technician | 733 Dante St., New Orleans, LA 70118 | 2018-05-09 |
| 1275033029 | Antonia Jennice Hollins | Behavior Technician | 733 Dante, New Orleans, LA 70118 | 2018-02-19 |
| 1922521467 | Amy Mcdonald | Specialist/Technologist | 2950 Ben Weiner Dr., Tulane Univ., Athletic Training Rm, 1st Floor, New Orleans, LA 70118 | 2017-07-17 |
| 1760910848 | Tyler Tunnell | Specialist/Technologist | James Wilson Center, 333 Ben Weiner Drive, New Orleans, LA 70118 | 2017-06-01 |
| 1538692801 | Shneitha Beasley | Counselor | 2619 Leonidas St, New Orleans, LA 70118 | 2017-04-04 |
| 1467826966 | Ethan Alan Solger | Specialist/Technologist | 333 James W Wilson Jr Center, New Orleans, LA 70118 | 2015-11-20 |
| 1225402878 | Heather Ravner | Student in an Organized Health Care Education/Training Program | Ben Weiner Drive, James W. Wilson Jr. Center, New Orleans, LA 70118 | 2015-11-19 |
| 1558735142 | Albert Charles Lindon IIi | Specialist/Technologist | 333 Ben Weiner Dr, New Orleans, LA 70118 | 2015-11-19 |
| Find all providers in zip 70118 | ||||
| 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 |
|---|---|---|---|---|
| 1104449388 | Dr. Chandler, LLC | Psychologist | 1615 Poydras St Ste 900, New Orleans, LA 70112-1282 | 2020-05-22 |
| 1801253059 | Gervey and Associates, LLC | Psychologist | 3520 General Degaulle Dr, Suite 4098, New Orleans, LA 70114-6757 | 2016-01-19 |
| 1558647891 | Jonathan Nicholas Chandler | Psychologist | 1615 Poydras St, Ste 900, New Orleans, LA 70112-1282 | 2011-11-01 |
| 1437442225 | New Consulting Services, LLC | Psychologist | 7815 Maple St, New Orleans, LA 70118-3960 | 2011-05-26 |
| 1053464339 | David K Jackson | Psychologist | 200 Henry Clay Ave, New Orleans, LA 70118-5911 | 2007-01-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | NEW ORLEANS |
| Zip Code | 70118 |
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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.