| Southern Psychological Specialists Llc | |
| 
					3525 Prytania St Ste 319&320b New Orleans LA 70115-3500  | |
| (504) 233-9006 | |
| Not Available | 
| Full Name | Southern Psychological Specialists Llc | 
|---|---|
| Speciality | Psychologist | 
| Location | 3525 Prytania St Ste 319&320b, New Orleans, Louisiana | 
| Authorized Official Name and Position | Erin Skaff Vandenweghe (MANAGING PARTNER) | 
| Authorized Official Contact | 5042339006 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Southern Psychological Specialists Llc 3525 Prytania St Ste 319&320b New Orleans LA 70115-3500 Ph: (504) 233-9006  | Southern Psychological Specialists Llc 3525 Prytania St Ste 319&320b New Orleans LA 70115-3500 Ph: (504) 233-9006  | 
| NPI Number | 1144983628 | 
|---|---|
| Provider Enumeration Date | 10/20/2021 | 
| Last Update Date | 05/04/2023 | 
| Certification Date | 05/04/2023 | 
| Medicare PECOS PAC ID | 1456748292 | 
|---|---|
| Medicare Enrollment ID | O20220427000198 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144983628 | NPI | - | NPPES | 
| Provider Name | Erin Skaff Vandenweghe | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1083749014 PECOS PAC ID: 9032162623 Enrollment ID: I20050223000557  | 
| Provider Name | Claudia Mosier | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1336261643 PECOS PAC ID: 4183740053 Enrollment ID: I20200415001501  | 
| Provider Name | Carmen Pulido | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1104118058 PECOS PAC ID: 1951704436 Enrollment ID: I20210721001330  | 
| Provider Name | Suzanne Marie Lavelle | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1952594806 PECOS PAC ID: 4587821640 Enrollment ID: I20220601000228  | 
| Provider Name | Joy Tuyet Bui | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1942027271 PECOS PAC ID: 3173057353 Enrollment ID: I20241111001769  | 
| Provider Name | Sheila Korones Gold | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1730841693 PECOS PAC ID: 0244757789 Enrollment ID: I20250507003240  | 
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