MMO OF BATON ROUGE
NPI 1104901701
Clinic/Center - Mental Health (Including Community Mental Health Center) in Baton Rouge, LA

NPI Status: Active since October 25, 2006

Contact Information

4428 NORTH BLVD
BATON ROUGE, LA
ZIP 70806
Phone: (225) 267-6443
Fax: (225) 346-0157

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About MMO OF BATON ROUGE

This page provides the complete NPI Profile along with additional information for Mmo Of Baton Rouge, a provider established in Baton Rouge, Louisiana operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1104901701 assigned on October 2006. The practitioner's primary taxonomy code is 261QM0801X with license number 2791 (LA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Mmo Of Baton Rouge. The authorized official of this NPI record is Mr. Robert L. Miller (Chief Executive Officer)

NPI
1104901701
Provider Legal Name
MEDICAL MANAGEMENT OPTIONS, LLC
Other Organization Name
MMO OF BATON ROUGE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4428 NORTH BLVD BATON ROUGE, LA 70806
Location Phone
(225) 267-6443
Location Fax
(225) 346-0157
Mailing Address
728 NORTH BLVD BATON ROUGE, LA 70802
Mailing Phone
(225) 293-6774
Mailing Fax
(225) 346-0157
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-25-2006
Last Update Date
09-07-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
2791
License State
LA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ROBERT L. MILLER

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(225) 293-6774

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
19-4616MEDICARE ID-TYPE UNSPECIFIED (04)LA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104901701
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104180270
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 8 + 0 + 2 + 7 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1104901701 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730239237 JOAN LEE GOAR LCSW
Individual
Counselor (Professional)4428 NORTH BLVD
BATON ROUGE, LA 70806
(225) 334-9063
1275770455MR. PAUL ALLAN KRAFT MSW, LCSW
Individual
Social Worker (Clinical)4428 NORTH BLVD
BATON ROUGE, LA 70806
(225) 334-9063
1831337070ANJANI D. NARRA MD LLC
Organization
Psychiatry & Neurology (Psychiatry)4428 NORTH BLVD
BATON ROUGE, LA 70806
(225) 802-9898
1235139213MEDICAL MANAGEMENT OPTIONS, INC.
Organization
Counselor (Mental Health)4428 NORTH BLVD
BATON ROUGE, LA 70806
(225) 334-9063

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104901701, enumerated in the NPI registry as an "organization" on October 25, 2006

The provider is located at 4428 North Blvd Baton Rouge, La 70806 and the phone number is (225) 267-6443

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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