Organization Active NPI

Peggy Thornton, PH.D., LLC

  • Adult Mental Health Clinic/Center
  • Mountain BRK, AL
National Provider Identifier
1093387086
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PEGGY THORNTON, PH.D., LLC
Practice address
3 Office Park Cir Ste 310
Mountain BRK, AL 35223-2536
Phone
(205) 789-8698
NPI assigned
Jul 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Dr. Peggy Thornton, PH.D.NPI 1639226400
Title
Owner
Phone
(205) 789-8698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3 Office Park Cir Ste 310
Mountain BRK, AL 35223-2536

Mailing address

441 Park Ave
Hoover, AL 35226-1154
Phone (205) 789-8698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210802001986 AL Part B Supplier - Clinic/Group Practice 7214331065 Receives reassigned benefits from 1 practitioner
Practice locations: Mountain BRK, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1093387086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 PARK AVE",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352261154",
            "telephone_number": "205-789-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 OFFICE PARK CIR STE 310",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232536",
            "telephone_number": "205-789-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGY THORNTON, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-11",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-789-8698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.