| Jefferson Psychiatric Associates Llc | |
|
3901 Houma Blvd Ste 401 Metairie LA 70006-2930 | |
| (504) 889-1448 | |
| (504) 889-1452 |
| Full Name | Jefferson Psychiatric Associates Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3901 Houma Blvd Ste 401, Metairie, Louisiana |
| Authorized Official Name and Position | Sidney Kendrick Smith (OWNER) |
| Authorized Official Contact | 5048891448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Psychiatric Associates Llc 3901 Houma Blvd Ste 401 Metairie LA 70006-2930 Ph: (504) 889-1448 | Jefferson Psychiatric Associates Llc 3901 Houma Blvd Ste 401 Metairie LA 70006-2930 Ph: (504) 889-1448 |
| NPI Number | 1053558890 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 06/15/2022 |
| Certification Date | 06/15/2022 |
| Medicare PECOS PAC ID | 9234361213 |
|---|---|
| Medicare Enrollment ID | O20140404001113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053558890 | NPI | - | NPPES |
| 1949230 | Medicaid | LA |
| Provider Name | Julie A Ceasar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861680274 PECOS PAC ID: 0042309478 Enrollment ID: I20071207000469 |
| Provider Name | Lorey Delap |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134303274 PECOS PAC ID: 1052481850 Enrollment ID: I20080605000526 |
| Provider Name | Kimberly Epperson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750685756 PECOS PAC ID: 6507049681 Enrollment ID: I20110328000353 |
| Provider Name | Jonathon J Rynning |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1992845127 PECOS PAC ID: 6507035110 Enrollment ID: I20110816000024 |
| Provider Name | Sidney K Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922148162 PECOS PAC ID: 3779508676 Enrollment ID: I20110817000150 |
| Provider Name | Robert W Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114937638 PECOS PAC ID: 8729240999 Enrollment ID: I20120504000100 |
| Provider Name | Kathleen J Mcchesney Peres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346250990 PECOS PAC ID: 4688838600 Enrollment ID: I20120604000113 |
| Provider Name | Kenneth B Sumner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073653275 PECOS PAC ID: 2163672338 Enrollment ID: I20121024000341 |
| Provider Name | Marianne M Call |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619224110 PECOS PAC ID: 3375786668 Enrollment ID: I20130906000030 |
| Provider Name | Sydney S Melancon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003310806 PECOS PAC ID: 3779962030 Enrollment ID: I20220617000195 |
| Provider Name | Jenia M Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033660584 PECOS PAC ID: 7214214477 Enrollment ID: I20221129002710 |
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