DEEPBLUE WELLNESS LLC – NPI #1518460211
Psychiatry & Neurology

Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

DEEPBLUE WELLNESS LLC is a psychiatry & neurologist located in METAIRIE, LA. NPPES has assigned the NPI number 1518460211 to DEEPBLUE WELLNESS LLC on March 09, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084B0040X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEEPBLUE WELLNESS LLC below.

NPI Profile for
DEEPBLUE WELLNESS LLC

NPI Number
1518460211
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEEPBLUE WELLNESS LLC
Primary location
4421 CONLIN ST STE 101
METAIRIE, LA 70006-2145
Phone: (337) 643-8424 Fax: (337) 643-8407
Mailing address
PO BOX 85
KAPLAN, LA 70548-0085
Phone: (337) 643-8424 Fax: (337) 643-8407
Organization Subpart
Yes - DEEPBLUE WELLNESS LLC is subpart of another organization.
Authorized Official
NICOLAS VERGARA
OWNER
Phone: (504) 275-4489
Updated
Identifiers

Identifiers for DEEPBLUE WELLNESS LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA1507814
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084B0040X
- Psychiatry & Neurology / Behavioral Neurology & Neuropsychiatry (Primary)
LA MD.204964

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.