Active NPI
Birmingham Neuropsychology
- Clinical Neuropsychologist
- Vestavia, AL
National Provider Identifier
1003039751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 819
- Legal business name
- BIRMINGHAM NEUROPSYCHOLOGY
- Practice address
- 4260 Cahaba Heights CT Ste 180
Vestavia, AL 35243-5711 - Phone
- (205) 329-7815
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard L Azrin, PHD
- Title
- Owner
- Phone
- (205) 329-7815
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 819 | AL | Primary |
Addresses
Primary practice location
4260 Cahaba Heights CT Ste 180
Vestavia, AL 35243-5711
Mailing address
4260 Cahaba Heights CT Ste 180
Vestavia, AL 35243-5711
Phone (205) 329-7815
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 362466400 | Other | AL | US DEPT. OF LABOR |
| 680013336 | Other | AL | RAILROAD MEDICARE |
| 051503120 | Other | AL | FEDERAL BLUE CROSS |
| 051501026 | Other | AL | BLUE CROSS OF ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4260 Cahaba Heights Ct
Ste 180
Vestavia, AL 35243
Phone (205) 329-7815
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Vestavia, AL
- NPI 1003905787
-
- Clinical Neuropsychologist
- Birmingham, AL
- NPI 1205917788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750032000000",
"number": "1003039751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4260 CAHABA HEIGHTS CT STE 180",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352435711",
"telephone_number": "205-329-7815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4260 CAHABA HEIGHTS CT STE 180",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352435711",
"telephone_number": "205-329-7815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIRMINGHAM NEUROPSYCHOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A",
"authorized_official_last_name": "AZRIN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-329-7815",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "AL",
"license": "819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT. OF LABOR",
"identifier": "362466400",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "680013336",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLUE CROSS",
"identifier": "051503120",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ALABAMA",
"identifier": "051501026",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vestavia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.