Provider Demographics
NPI:1326428269
Name:PODESTA PSYCHIATRY
Entity Type:Organization
Organization Name:PODESTA PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:
Authorized Official - First Name:ARWEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PODESTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-252-0026
Mailing Address - Street 1:1511 METAIRIE RD
Mailing Address - Street 2:SUITE 22
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-3938
Mailing Address - Country:US
Mailing Address - Phone:504-252-0026
Mailing Address - Fax:504-322-3854
Practice Address - Street 1:4322 CANAL ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-5945
Practice Address - Country:US
Practice Address - Phone:504-252-0026
Practice Address - Fax:504-322-3854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-05
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty