Active NPI
Miriam Maite Sevilla Saez-Benito, M.D.
- Child & Adolescent Psychiatry Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 330443
- Practice address
- 5800 Southland Dr
Mobile, AL 36693-3313 - Phone
- (251) 662-7974
- NPI assigned
- May 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 30443 | AL | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 330443 | LA | Primary |
Addresses
Primary practice location
5800 Southland Dr
Mobile, AL 36693-3313
Mailing address
5750A Southland Dr
Mobile, AL 36693-3316
Phone (251) 450-2211
Other practice location 1
1525 River Oaks Rd W
New Orleans, LA 70123-2199
Phone (504) 818-1392 ext. 355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330443 | LA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Oaks Inc | Current | Accepting new patients | |
| River Oaks Inc | Psychiatry | Current | Accepting new patients |
| Altapointe Health Systems, Inc. | Current | Accepting new patients | |
| Altapointe Health Systems Inc | Current | Accepting new patients | |
| Altapointe Health Systems, Inc | Past | Accepting new patients |
Locations
5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901
2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660
501 Bishop Ln N
Mobile, AL 36608
Phone (251) 450-2240
5800 Southland Dr
Mobile, AL 36693
Phone (251) 661-0153
1525 River Oaks Rd W
New Orleans, LA 70123
Phone (504) 733-2273
Networks
- MS PPO C-SNP
- FL HMO D-SNP
- MS PPO D-SNP
- TN PPO C-SNP
- FL PPO
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- AL HMO D-SNP
- MS PPO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- TN PPO
- AL HMO
Interoperability endpoints
- https://api.platform.athenahealth.com/27270/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mobile, AL
- NPI 1518095413
-
- Psychiatry Physician
- New Orleans, LA
- NPI 1528230976
-
- Psychiatric Hospital
- Daphne, AL
- NPI 1093010936
-
- Psychiatric Hospital
- New Orleans, LA
- NPI 1851350862
-
- Psychiatric Hospital
- Mobile, AL
- NPI 1053332213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1003134917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750A SOUTHLAND DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366933316",
"telephone_number": "251-450-2211",
"fax_number": "251-662-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 SOUTHLAND DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366933313",
"telephone_number": "251-662-7974"
}
],
"practiceLocations": [
{
"address_1": "1525 River Oaks Rd W",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701232199",
"country_code": "US",
"telephone_number": "504-818-1392 x355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEVILLA SAEZ-BENITO",
"first_name": "MIRIAM",
"middle_name": "MAITE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-17",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "30443",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "LA",
"license": "330443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.