PELICANO LLC NPI 1902618077

NPI Information

  • NPI: 1902618077
  • Provider Name: PELICANO, LLC
  • Classification: Psychologist - 103TP0016X
  • Specialization: Prescribing (Medical)
  • Entity Type: Organization
  • :
  • Address: 1340 POYDRAS ST STE 1770
    NEW ORLEANS, LA
    ZIP 70112
  • Phone: (727) 834-0034

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NPI Details

PELICANO, LLC is a prescribing (medical) psychologist in New Orleans, LA. The provider is 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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. PELICANO, LLC NPI is 1902618077. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1340 POYDRAS ST STE 1770
NEW ORLEANS, LA
ZIP 70112-204
Phone: (727) 834-0034

The provider's authorized official is Gustavo Segura Hernandez .
The authorized official title is Psychologist and has the following contact phone number (727) 834-0034.

The enumeration date for this NPI number is 1/24/2025 and was last updated on 3/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & BehavioralNo
2103TC0700XPsychologistClinicalNo
3103TP0016XPsychologistPrescribing (Medical)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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