AMY E CAVANAUGH PHD LLC NPI 1962554790

NPI Information

  • NPI: 1962554790
  • Provider Name: AMY E CAVANAUGH, PHD LLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3312 KALISTE SALOOM RD BLDG 1
    LAFAYETTE, LA
    ZIP 70508
  • Phone: (337) 534-0727

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NPI Details

Amy E Cavanaugh, PHD LLC is a clinical psychologist in Lafayette, LA with 22 years of experience. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. Amy E Cavanaugh, PHD LLC NPI is 1962554790. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2004

The provider's business location address is:

3312 KALISTE SALOOM RD BLDG 1
LAFAYETTE, LA
ZIP 70508-449
Phone: (337) 534-0727
Fax: (337) 534-0737

The NPI 1962554790 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 1/31/2024.

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 & Behavioral998LOUISIANANo
2103TC1900XPsychologistCounseling998LOUISIANANo
3103TC2200XPsychologistClinical Child & Adolescent998LOUISIANANo
4103TC0700XPsychologistClinical998LOUISIANAYes
5103TF0000XPsychologistFamily998LOUISIANANo
6103TP2701XPsychologistGroup Psychotherapy998LOUISIANANo
7103T00000XPsychologist998LOUISIANANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12125541MEDICAIDLOUISIANA

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

NPI Synchronization or Removal

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