Organization Active NPI

Alabama Department of Mental Health and Mental Retardation

  • Community/Behavioral Health Agency
  • Montgomery, AL
National Provider Identifier
1073666772
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION
Practice address
100 N Union St
Montgomery, AL 36130-0001
Phone
(334) 242-3107
NPI assigned
Jan 18, 2007
Last updated
Dec 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Rita Wingard
Title
Director, Systems Management
Phone
(334) 353-3719

Specialties & licenses 1

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

Addresses

Primary practice location

100 N Union St
Montgomery, AL 36130-0001

Mailing address

100 N Union St
Montgomery, AL 36130-0001
Phone (334) 242-3107

Other identifiers 1

IdentifierTypeStateIssuer
005400000MedicaidAL

National Provider Directory

National Provider Directory
Tax ID family
Alabama Department of Mental Health and Mental Retardation9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1073666772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N UNION ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361300001",
            "telephone_number": "334-242-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N UNION ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361300001",
            "telephone_number": "334-242-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "WINGARD",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "DIRECTOR, SYSTEMS MANAGEMENT",
        "authorized_official_telephone_number": "334-353-3719"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005400000",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.