Dothan Psychiatric, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DOTHAN PSYCHIATRIC, PC

Practice address

256 Honeysuckle Rd
Suite 2
Dothan, AL 36305-1157

Phone

(334) 702-8425

Fax

(334) 794-8460

NPI assigned

Jan 19, 2006

Last updated

Aug 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Gisela S Drew

Title

Administrator

Phone

(334) 702-8425

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8792/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1053391581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 HONEYSUCKLE RD",
            "address_2": "SUITE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051157",
            "telephone_number": "334-702-8425",
            "fax_number": "334-794-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 HONEYSUCKLE RD",
            "address_2": "SUITE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051157",
            "telephone_number": "334-702-8425",
            "fax_number": "334-794-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTHAN PSYCHIATRIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "GISELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-702-8425",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529907650",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dothan Pediatric Clinic, P. a.
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• Dothan Pharmacy LLC (Dothan Pharmacy)
• Dothan Primary Care LLC (Dothan Family Practice)
• Dothan Professional Counseling Services
• Dothan Psychiatry & Sleep Disorders Medicine, PC
• Dothan RX LLC
• Dothan Smiles Youth Dentistry, PC
• Dothan Spine & Specialty LLC
• Dothan Surgery Center, LLC (Dothan Surgery Center)

• Psychiatry Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.