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DR. JOHN FRANCIS FIDANZA III PSY.D.
NPI 1902801392
Psychologist - Prescribing (Medical) in Zachary, LA

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment
6351 MAIN ST, ZACHARY, LA 70791(225) 306-2000(225) 658-1282 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Francis Fidanza Iii Psy.d. NPPES

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

DR. JOHN FRANCIS FIDANZA III PSY.D. (NPI 1902801392) is an individual prescribing (medical) provider in Zachary, Louisiana, licensed in Louisiana (1040MP) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1902801392
Entity TypeIndividualMale
Primary Taxonomy103TP0016X
Provider Legal NameDR. JOHN FRANCIS FIDANZA IIICredential: PSY.D.
Location Address6351 MAIN STZachary, LA 70791-4038
Mailing AddressPo Box 770Zachary, LA 70791-0770 · (225) 306-2000 · Fax (225) 658-1249
Phone(225) 306-2000
Fax(225) 658-1282
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJune 14, 2005
Last NPPES UpdateJuly 21, 2015
✔ NPI 1902801392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in LA · 1040MP
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
6351 MAIN ST, Zachary, LA 70791
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Other Identifiers 2

Medicare PIN98002LA
Medicaid2125958LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Francis Fidanza Iii Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537073465
PECOS Enrollment IDI20210309001418
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

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

DR. KHUONG NGUYEN CHEUK D.D.S.
Dentist (General Practice)
6351 MAIN ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 306-2000
SARAH SMITH RDH
Dental Hygienist
6351 MAIN ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 306-2000
DR. LARA MCINTYRE AGUIRRE DNP, APRN
Nurse Practitioner (Family)
6351 MAIN ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 306-2000
DR. KEITH WESTERFIELD PHD, MP
Psychologist (Prescribing (Medical))
6351 MAIN ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 306-2055
LISA BROADNAX MED
Counselor (Addiction (Substance Use Disorder))
6351 MAIN ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 306-2000
SOUTHEAST COMMUNITY HEALTH SYSTEMS
Clinic/Center (Federally Qualified Health Center (FQHC))
6351 MAIN ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 306-2000
SCHS- YOUTH MOBILE CRISIS SERVICES ZACH
Clinic/Center (Mental Health (Including Community Mental Health Center))
6351 MAIN ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 306-2000
ANNA JONES ARDOIN FNP-C
Nurse Practitioner (Family)
6351 MAIN ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 306-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Fidanza's NPI number?

The NPI number for John Fidanza is 1902801392. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is John Fidanza located?

John Fidanza practices at 6351 Main St, Zachary, LA 70791. The listed phone number is (225) 306-2000.

What is John Fidanza's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Is John Fidanza enrolled in Medicare?

Yes. John Fidanza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Fidanza accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 2 other insurers list John Fidanza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Fidanza was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.