AMY E CAVANAUGH (NPI# 1962554790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962554790 |
| Entity Type | Individual |
| Full Name | AMY E CAVANAUGH |
| Credential | PHD LLC |
| Practice Address |
4540 Ambassador Caffery Pkwy Suite C200 Lafayette LA 70508-6928 |
| Mailing Address |
Po Box 80853 Lafayette LA 70598-0853 |
| Practice Telephone | 3378895830 |
| Practice Fax Number | 3378895834 |
| Mailing Telephone | 3378895830 |
| Mailing Fax Number | 3378895834 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2014-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 998 | LA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
998 | LA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
998 | LA | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
998 | LA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
998 | LA | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
998 | LA | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
998 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2125541 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972058915 | Amy Cavanaugh | Occupational Therapist | 795 Summit St, Elgin, IL 60120-4313 | 2016-08-19 |
| Street Address |
4540 AMBASSADOR CAFFERY PKWY SUITE C200 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-6928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319780 | Virginia B Coreil | Pediatrics | 4540 Ambassador Caffery Pkwy, Ste B220, Lafayette, LA 70508-6928 | 2005-07-07 |
| 1609239508 | Rush Medical - Lafayette, LLC | Substance Abuse Rehabilitation Facility | 4540 Ambassador Caffery Pkwy, Ste. B110, Lafayette, LA 70508-6928 | 2016-03-30 |
| 1275993388 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 4540 Ambassador Caffery Pkwy, Ste. C-110, Lafayette, LA 70508 | 2016-03-02 |
| 1003286998 | Geeta N Dalal Md LLC | Pediatrics | 4540 Ambassador Caffery Pkwy, Suite C-130, Lafayette, LA 70508-6928 | 2015-10-05 |
| 1316352164 | Rush Medical | General Practice | 4540 Ambassador Caffery Pkwy, Suite B-110, Lafayette, LA 70508-6928 | 2014-06-30 |
| 1285989772 | Lisa M Larochelle | Social Worker | 4540 Ambassador Caffery Pkwy, Building D, Suite B-220, Lafayette, LA 70508-6928 | 2012-07-20 |
| 1861794729 | Jessica Broussard Baudoin | Counselor | 4540 Ambassador Caffery Pkwy, Building D, Suite B-220, Lafayette, LA 70508-6928 | 2010-11-29 |
| 1104145507 | Kayla S Fanguy | Counselor | 4540 Ambassador Caffery Pkwy, Bldg. D, Suite B-220, Lafayette, LA 70508-6928 | 2010-05-25 |
| 1285864025 | Reactive Nutrition, LLC | Dietitian, Registered | 4540 Ambassador Caffery Pkwy, C240, Lafayette, LA 70508-6928 | 2009-07-14 |
| 1326274408 | Wendy J Leger | Social Worker | 4540 Ambassador Caffery Pkwy, Suite B-220, Lafayette, LA 70508-6928 | 2009-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336621291 | Wesley Ward Ph.d LLC | Psychologist | 100 Saw Mill Rd Ste 3104, Lafayette, IN 47905-5598 | 2018-09-06 |
| 1396238275 | Lafayette Psychology Center, LLC | Psychologist | 905 Jefferson St Ste 410, Lafayette, LA 70501-7900 | 2018-06-14 |
| 1023468154 | Marilyn Steele | Psychologist | 965 Moraga Rd, Lafayette, CA 94549-4422 | 2016-06-20 |
| 1396012183 | Jesus Sanchez | Psychologist | 150 Old Laramie Trl Unit 120, Lafayette, CO 80026 | 2011-11-21 |
| 1992025720 | Amy E Cavanaugh Phd LLC | Psychologist | 4540 Ambassador Caffery Pkwy Ste C200, Lafayette, LA 70508-6930 | 2010-06-03 |
| 1972734242 | Bianchini-strother/boudreaux, LLC | Psychologist | 107 Regency Sq, Lafayette, LA 70508-4221 | 2009-08-04 |
| 1649423195 | Andrew Michaels | Psychologist | 3184 Old Tunnel Rd Ste A, Lafayette, CA 94549-4153 | 2008-10-28 |
| 1306023130 | Sonja Hellman | Psychologist | 1373 Forest Park Cir Ste 204, Lafayette, CO 80026-3193 | 2008-01-23 |
| 1174744239 | Suzanne Moselle Allen | Psychologist | 3249 Mt. Diablo Blvd., Suite 210, Lafayette, CA 94549 | 2007-05-02 |
| 1336360734 | Dai To | Psychologist | 3468 Mt Diablo Blvd Ste 201, Lafayette, CA 94549-3957 | 2007-05-01 |
| Find all providers in LAFAYETTE | ||||
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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.