Carissa L Bokelberg, Psy.D.

LBN: Carissa Bokelberg Llc Psyd
Carissa L Bokelberg, Psy.D. is an health care organization with primary practice located at 3909 Bienville St Suite 102, New Orleans LA 70119-5151. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Carissa Bokelberg Llc Psyd can be contacted via phone (504) 535-4372, or through Bokelberg, Carissa L via phone (504) 377-7779.

Contact Information

Primary practice address
3909 Bienville St Suite 102 New Orleans LA 70119-5151
Phone: (504) 535-4372
Fax: (504) 273-1479
Website:
Map and Directions
Authorized official contact:
Name: Bokelberg, Carissa L PSY.D.
Phone: (504) 377-7779

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1048 Louisiana

Profile Details

NPI number 1639459399
LBN Legal business name Carissa Bokelberg Llc Psyd
DBA Doing business as Carissa L Bokelberg, Psy.D.
Authorized official Bokelberg, Carissa L PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2011
Last updated Mar 21st, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639459399 NPPES
Louisiana MEDICAID 1307424

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