Richard L Azrin, PH. D.
Individual provider Active NPI Clinical Neuropsychologist · Vestavia, AL
NPI 1003905787 · NPPES record last updated May 9, 2019
Key facts
- NPI
- 1003905787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Neuropsychologist 103G00000X
- License
- 819 (AL)
- Practice address
- 4260 Cahaba Heights CT
Ste 180
Vestavia, AL 35243-5711 - Phone
- (053) 297-8152
- Fax
- (205) 329-7816
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Birmingham Neuropsychology
Practice addresses (Care Compare)
4260 Cahaba Heights CT
Suite 180
Vestavia, AL 35243-5711
Phone (205) 329-7815
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111221000361 | AL | Practitioner - Clinical Psychologist | 4981626645 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 819 | AL | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birmingham Neuropsychology | Clinical Neuropsychologist | Current |
Accepting new patients |
| Dr Frank a Brotherton LLC | Clinical | Past | Accepting new patients |
Locations
2018 Brookwood Medical Ctr Dr
Ste 310
Birmingham, AL 35209
Phone (205) 329-7815
4260 Cahaba Heights Ct
Ste 180
Vestavia, AL 35243
Phone (205) 329-7815
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 819 | AL | |
| Clinical Neuropsychologist | 103G00000X | 819 | AL | Yes |
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 (053) 297-8152
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051501026 | Other | AL | BLUE CROSS |
| 051503120 | Other | AL | FEDERAL BLUE CROSS |
| US DEPART. OF LABOR | Other | AL | 362466400 |
Other providers in Vestavia, AL
- Austin & Associates
- Alexis Nicole Austin
- Heather Austin
- Catherine Grace Autry
- Brittani Autwell
- Christopher Robin Bailey
- Frankqunetta Bailey
- Telishay Rocquel Bailey
- Kaitlyn Mayanna Bainbridge
- Kevaun Baird
All providers in Vestavia, AL · Clinical Neuropsychologist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.