| Brentwood Hospital | |
|
1006 Highland Ave Shreveport LA 71101-4103 | |
| (318) 678-7500 | |
| (318) 227-9296 |
| Full Name | Brentwood Hospital |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1006 Highland Ave, Shreveport, Louisiana |
| Authorized Official Name and Position | Steve Filton (SR VP CFO) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brentwood Hospital 1006 Highland Ave Shreveport LA 71101-4103 Ph: (318) 678-7500 | Brentwood Hospital 1006 Highland Ave Shreveport LA 71101-4103 Ph: (318) 678-7500 |
| NPI Number | 1164725701 |
|---|---|
| Provider Enumeration Date | 12/20/2010 |
| Last Update Date | 05/03/2016 |
| Medicare PECOS PAC ID | 1951379312 |
|---|---|
| Medicare Enrollment ID | O20040923000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164725701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 283Q00000X | Psychiatric Hospital | 529 (Louisiana) | Secondary |
| Provider Name | Ovayoza Izegbuwa Adeleye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538150263 PECOS PAC ID: 2860418761 Enrollment ID: I20070731000454 |
| Provider Name | Kathryn Kennedy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427088020 PECOS PAC ID: 1355421256 Enrollment ID: I20080104000324 |
| Provider Name | Robert Savory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619968229 PECOS PAC ID: 7315035128 Enrollment ID: I20100507000748 |
| Provider Name | Pamela P Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588770135 PECOS PAC ID: 8224126032 Enrollment ID: I20100520000462 |
| Provider Name | John H Wagner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033320577 PECOS PAC ID: 7719001452 Enrollment ID: I20100901000375 |
| Provider Name | Guy E Brannon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164481875 PECOS PAC ID: 3072700087 Enrollment ID: I20101202001144 |
| Provider Name | Alexandra Jones Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700166717 PECOS PAC ID: 1759551344 Enrollment ID: I20110909002805 |
| Provider Name | Daniel J Feeney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326012949 PECOS PAC ID: 8325079981 Enrollment ID: I20120709000460 |
| Provider Name | Olufemi A Ogundeji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912226697 PECOS PAC ID: 2163744533 Enrollment ID: I20141215001240 |
| Provider Name | Swamy Suresh Sabbenahalli Narayana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528372505 PECOS PAC ID: 1759608581 Enrollment ID: I20150316001439 |
| Provider Name | Katherine E Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497998835 PECOS PAC ID: 8628395407 Enrollment ID: I20150317001074 |
| Provider Name | Lisa J Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912389503 PECOS PAC ID: 9537460704 Enrollment ID: I20151211000729 |
| Provider Name | Jaschandria I Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407264989 PECOS PAC ID: 2860789922 Enrollment ID: I20160919000273 |
| Provider Name | Abigail C Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629579107 PECOS PAC ID: 8729343413 Enrollment ID: I20180530001431 |
| Provider Name | Parker Benjamin Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699185579 PECOS PAC ID: 7113200767 Enrollment ID: I20181108002673 |
| Provider Name | Tawnya J Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457649881 PECOS PAC ID: 7911232277 Enrollment ID: I20190710000810 |
| Provider Name | Connie Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790751642 PECOS PAC ID: 9133450034 Enrollment ID: I20191008000246 |
| Provider Name | Swathi Parvataneni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881079028 PECOS PAC ID: 8426354580 Enrollment ID: I20210609000733 |
| Provider Name | Elena Urbiztondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881226561 PECOS PAC ID: 8022418276 Enrollment ID: I20210610000645 |
| Provider Name | Marnitta L Demming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225539984 PECOS PAC ID: 2769737147 Enrollment ID: I20210615000570 |
| Provider Name | Rebecca Elizabeth Pistorius |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518353671 PECOS PAC ID: 7416250279 Enrollment ID: I20210722003227 |
| Provider Name | Tina M Noone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144604323 PECOS PAC ID: 4688989957 Enrollment ID: I20211022000178 |
| Provider Name | Kristy R Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134894173 PECOS PAC ID: 5799174959 Enrollment ID: I20211110001372 |
| Provider Name | Victoria Vasquez Andrade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801564661 PECOS PAC ID: 3274922372 Enrollment ID: I20211111000158 |
| Provider Name | Kimberly A Loveless |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689800203 PECOS PAC ID: 8527365006 Enrollment ID: I20220429001099 |
| Provider Name | Madrine Zulu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346990439 PECOS PAC ID: 3577949171 Enrollment ID: I20221005002357 |
| Provider Name | Jaya Praveen Kumar Penagaluri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124258645 PECOS PAC ID: 6709037781 Enrollment ID: I20230329002942 |
| Provider Name | Zachary B Fussell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861114407 PECOS PAC ID: 0648645812 Enrollment ID: I20230401000058 |
| Provider Name | Deanna Minor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376912386 PECOS PAC ID: 7416259239 Enrollment ID: I20230404002833 |
| Provider Name | Roderickus K Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679965610 PECOS PAC ID: 4284009051 Enrollment ID: I20230408000015 |
| Provider Name | Karen Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902688559 PECOS PAC ID: 1658813456 Enrollment ID: I20240607002730 |
| Provider Name | Ginger Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851074934 PECOS PAC ID: 3476096751 Enrollment ID: I20240614001025 |
Cbs Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1406 Hawn Ave, Shreveport, LA 71107 Phone: 317-617-5869 Fax: 317-675-0226 | |
Red River Therapeutic Solutions Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2715 Mackey Pl Ste 135, Shreveport, LA 71118 Phone: 318-220-8423 Fax: 318-220-8573 | |
Roan Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1455 E Bert Kouns Industrial Loop # 102, Shreveport, LA 71105 Phone: 318-798-4444 Fax: 318-795-4748 | |
Sunshine Mental Health Counseling Service, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2800 Youree Dr, Bldg B Suite 426, Shreveport, LA 71104 Phone: 318-617-4385 | |
Clw Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2920 Knight St Ste 112, Shreveport, LA 71105 Phone: 318-510-0612 | |
Unshattered Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Texas St Ste 1050-04, Shreveport, LA 71101 Phone: 318-688-8218 | |
Travelers Counseling Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 Marshall St, Shreveport, LA 71101 Phone: 318-606-5105 Fax: 318-606-5908 |