Organization Active NPI

Bayside Behavioral Health Center, LLC

  • Community/Behavioral Health Agency
  • Fairhope, AL
National Provider Identifier
1013462233
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BAYSIDE BEHAVIORAL HEALTH CENTER, LLC
Practice address
7 S Summit St
Fairhope, AL 36532-2331
Phone
(251) 616-0326
NPI assigned
Aug 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Mr. Charlie Morris, MSW
Title
Founder
Phone
(251) 454-6121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7 S Summit St
Fairhope, AL 36532-2331

Mailing address

PO Box 1531
Robertsdale, AL 36567-1531

National Provider Directory

National Provider Directory

Locations

7 S Summit St
Fairhope, AL 36532
Phone (251) 279-0886

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1013462233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1531",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365671531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S SUMMIT ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322331",
            "telephone_number": "251-616-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE BEHAVIORAL HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "251-454-6121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.