Fernelle Lekoyne Warren, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1357 Issued in AL

Practice address

889 Elba Highway
Suite 107a
Troy, AL 36079-6017

Phone

(334) 808-8991

Fax

(334) 808-8995

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Warren Behavioral Care, IncGroup PAC ID 2668488750, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles (3 of 7)

Locations

Networks

• MS PPO D-SNP
• MS PPO C-SNP
• FL PPO
• MS PPO

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.

• Warren Behavioral Care, Inc

  • Clinical Psychologist
  • Troy, AL
  • NPI 1043418098
  Medicare reassignment Care Compare group NPD Authorized official
• Warren Behavioral Care

  • Professional Counselor
  • Dothan, AL
  • NPI 1851762009
  NPD Authorized official
• Wiregrass Wellness Center, LLC

  • Psychiatry Physician
  • Dothan, AL
  • NPI 1013117167
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023058161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360810952",
            "telephone_number": "334-434-9019",
            "fax_number": "334-808-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 ELBA HIGHWAY",
            "address_2": "SUITE 107A",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360796017",
            "telephone_number": "334-808-8991",
            "fax_number": "334-808-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "FERNELLE",
        "middle_name": "LEKOYNE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51532779",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Griffith Guerry Walters, M.D.
• Hanna Brooke Walters, RBT
• Warren Behavioral Care, Inc
• Selena Jayne Warren
• Zoe Torres Warren
• Tabitha Ashley Weed, PT
• Abigail Elisbeth Welsh
• Kaci White, MSN, APRN, FNP-C

• Clinical Psychologist in Troy, AL
• Providers in Troy, AL by specialty
• Clinical Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.