NPIMap

Organization Active NPI

Auburn Psychology Group, LLC

  • Psychologist
  • Auburn, AL
National Provider Identifier
1083980676
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
AUBURN PSYCHOLOGY GROUP, LLC
Practice address
861 N Dean Rd Ste D
Auburn, AL 36830-9421
Phone
(334) 887-4343
Fax
(334) 887-5656
NPI assigned
Mar 28, 2012
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Stephanie Glidewell
Title
Office Manager
Phone
(334) 887-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

861 N Dean Rd Ste D
Auburn, AL 36830-9421

Mailing address

861 N Dean Rd Ste D
Auburn, AL 36830-9421
Phone (334) 887-4343

National Provider Directory

National Provider Directory

Locations

861 N Dean Rd
Ste D
Auburn, AL 36830
Phone (334) 687-4343

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1083980676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 N DEAN RD STE D",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368309421",
            "telephone_number": "334-887-4343",
            "fax_number": "334-887-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 N DEAN RD STE D",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368309421",
            "telephone_number": "334-887-4343",
            "fax_number": "334-887-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN PSYCHOLOGY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "GLIDEWELL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-887-4343"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.