OVERTON BROOKS VAMC
NPI 1285925982
Clinic/Center - Adult Mental Health in Shreveport, LA

Q: What is Overton Brooks Vamc's NPI number?

The NPI number for Overton Brooks Vamc is 1285925982. It was assigned to this organization in the NPPES registry on April 28, 2011.

Q: What is Overton Brooks Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since April 28, 2011

510 E STONER AVE, SHREVEPORT, LA 71101(318) 221-8411 Get Directions Write a Review

NPPES record last updated: April 28, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Overton Brooks Vamc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OVERTON BROOKS VAMC (NPI 1285925982) is a healthcare organization registered as an adult mental health in Shreveport, Louisiana and active in the NPI registry since April 2011. The organization lists Charles Dai-trieu Cao, Kinesiotherapist, as its authorized official.

NPPES Registry Identity

NPI1285925982

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameOVERTON BROOKS VAMC

Location Address510 E STONER AVEShreveport, LA 71101-4243

Mailing Address510 E Stoner AveShreveport, LA 71101-4243 · (318) 221-8411

Phone(318) 221-8411

Organization SubpartNo

Authorized OfficialCharles Dai-trieu CaoKinesiotherapist · (318) 221-8411

Enumeration DateApril 28, 2011

✔ NPI 1285925982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

510 E STONER AVE, Shreveport, LA 71101

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 19D0987270

Overton Brooks Vamc · Shreveport, LA

Expired · May 22, 2026

CLIA Number19D0987270

Laboratory TypeHospital

Certificate Effective DateJune 1, 2001

Certificate Expiration DateMay 22, 2026

Laboratory DirectorMichael Constantinescu

Laboratory Phone(318) 221-8411

Laboratory LocationOverton Brooks Vamc510 E Stoner Ave Main Bldg 2nd Fl N&e, Shreveport, LA 71101

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILIP ASSAAD HADDAD MD

Internal Medicine (Hematology & Oncology)