NPIMap

Organization Active NPI

North Alabama Family Psychiatry & Counseling

  • Adult Mental Health Clinic/Center
  • Madison, AL
National Provider Identifier
1003368671
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NORTH ALABAMA FAMILY PSYCHIATRY & COUNSELING
Practice address
9238 Madison Blvd
Suite 750
Madison, AL 35758-9100
Phone
(256) 727-8880
Fax
(888) 951-7515
NPI assigned
Oct 31, 2016
Last updated
Oct 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Mr. Bruce Y Pettway
Title
President
Phone
(256) 724-8880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

9238 Madison Blvd
Suite 750
Madison, AL 35758-9100

Mailing address

9238 Madison Blvd
Suite 750
Madison, AL 35758-9100
Phone (256) 727-8880

National Provider Directory

National Provider Directory

Locations

9238 Madison Blvd
Ste 750
Madison, AL 35758
Phone (256) 724-8880

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1003368671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9238 MADISON BLVD",
            "address_2": "SUITE 750",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589100",
            "telephone_number": "256-727-8880",
            "fax_number": "888-951-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9238 MADISON BLVD",
            "address_2": "SUITE 750",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589100",
            "telephone_number": "256-727-8880",
            "fax_number": "888-951-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ALABAMA FAMILY PSYCHIATRY & COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "PETTWAY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-724-8880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.