| The Ness Center | |
|
23699 Quail Lane Mandeville LA 70448-7334 | |
| (985) 334-4040 | |
| (985) 626-6549 |
| Full Name | The Ness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 23699 Quail Lane, Mandeville, Louisiana |
| Authorized Official Name and Position | Tony Shir (OFFICER) |
| Authorized Official Contact | 8474524565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ness Center 7300 N Cicero Ave Suite 211 Lincolnwood IL 60712-1641 Ph: (224) 392-9889 | The Ness Center 23699 Quail Lane Mandeville LA 70448-7334 Ph: (985) 334-4040 |
| NPI Number | 1154855781 |
|---|---|
| Provider Enumeration Date | 04/20/2017 |
| Last Update Date | 06/15/2022 |
| Certification Date | 06/13/2022 |
| Medicare PECOS PAC ID | 9739457342 |
|---|---|
| Medicare Enrollment ID | O20170622000569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154855781 | NPI | - | NPPES |
| Provider Name | Jose Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235399262 PECOS PAC ID: 4789727231 Enrollment ID: I20100205000061 |
| Provider Name | Shanta Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427468503 PECOS PAC ID: 9436379922 Enrollment ID: I20141006000376 |
| Provider Name | Karen M George |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932498284 PECOS PAC ID: 9234445693 Enrollment ID: I20150831001077 |
| Provider Name | Sureshkumar H Bhatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922268994 PECOS PAC ID: 6608162730 Enrollment ID: I20160915001291 |
| Provider Name | Graham L Spruiell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083683130 PECOS PAC ID: 9739197625 Enrollment ID: I20161109000481 |
| Provider Name | Carol J Darr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265514426 PECOS PAC ID: 2567894413 Enrollment ID: I20200323000248 |
| Provider Name | Tyler Trenton Wansley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962035964 PECOS PAC ID: 4486079050 Enrollment ID: I20200730001845 |
| Provider Name | Sauntrice O'quin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194246686 PECOS PAC ID: 3870850563 Enrollment ID: I20201118000548 |
| Provider Name | Chad W Trosclair |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1952556094 PECOS PAC ID: 4385076140 Enrollment ID: I20230914001777 |
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