Individual provider Active NPI

Miriam Maite Sevilla Saez-Benito, M.D.

  • Child & Adolescent Psychiatry Physician
  • Mobile, AL
National Provider Identifier
1003134917
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
330443 Issued in LA
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

Updated by the provider on Jul 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120622000472 AL Practitioner - Psychiatry 0345405486 Reassigns benefits to 1 organization
I20220512002283 LA Practitioner - Psychiatry 0345405486 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
330443LAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
River Oaks Inc CurrentSince Apr 25, 2022 Accepting new patients
River Oaks Inc Psychiatry Current Accepting new patients
Altapointe Health Systems, Inc. Current Accepting new patients
Altapointe Health Systems Inc CurrentSince Nov 27, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.