Azalea Behavioral Health PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

AZALEA BEHAVIORAL HEALTH PC

Practice address

3929 Airport Blvd Ste 3-300
Mobile, AL 36609-2235

Phone

(251) 444-5868

NPI assigned

Mar 19, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Candes Dotson, DONPI 1861713703

Title

President/Owner/Doctor

Phone

(251) 444-5868

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Candes Lynne Dotson, D.O.

  • Psychiatry Physician
  • Mobile, AL
  • NPI 1861713703
  NPD (past) Authorized official

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1063971091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 MORRISON DR STE 400",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093350",
            "telephone_number": "251-340-6947",
            "fax_number": "251-460-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 AIRPORT BLVD STE 3-300",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092235",
            "telephone_number": "251-444-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA BEHAVIORAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "CANDES",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/DOCTOR",
        "authorized_official_telephone_number": "251-444-5868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1861713703",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farida N Awan, M.D.
• Ghulam Awan, MD
• Saad Mustafa Awan, MD
• Ayesha Kidd Senior Eyecare Service LLC
• Shalynn Ayler
• Azalea City Dental, LLC
• Azalea City Hand & Rehab, Inc.
• Azalea City Medical Services
• Azalea City Medical Services, Inc.
• Azalea City Physical Therapy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.