Behavioral Healthcare Center at Creekside, LLC
Organization Active NPI Psychiatric Hospital · Bridgeport, AL
NPI 1104611235 · NPPES record last updated Feb 9, 2026
Key facts
- NPI
- 1104611235
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital 283Q00000X
- Legal business name
- BEHAVIORAL HEALTHCARE CENTER AT CREEKSIDE, LLC
- Practice address
- 200 Rowland Ave
Bridgeport, AL 35740-4000 - Phone
- (256) 695-4495
- NPI assigned
- Apr 10, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- AMERICAN HEALTH COMPANIES LLC
Authorized official
- Name
- Robin Bradley
- Title
- Authorized Official
- Phone
- (615) 614-8404
Practitioners 5
-
Bintou Adele Jones, PMHNP
-
Rakesh Amin, M.D.
-
Sherita Sherell Jones, APRN
-
Elizabeth Vernon, APRN
-
Maudessa Y Faulkner, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2291502 | Behavioral Healthcare Center at Creekside, LLC | Certificate of waiver | Oct 10, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260223001873 | AL | Part B Supplier - Clinic/Group Practice | 6901315936 |
Receives reassigned benefits from 5 practitioners Practice locations: Bridgeport, AL |
National Provider Directory
Locations
201 Jordan Rd
Franklin, TN 37067
Phone (615) 614-8404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | |||
| Psychiatric Hospital | 283Q00000X | Yes |
Addresses
Primary practice location
200 Rowland Ave
Bridgeport, AL 35740-4000
Mailing address
201 Jordan Rd
Franklin, TN 37067-4495
Other names
- Unity Psychiatric Care- Creekside
NPI Registry JSON
{
"created_epoch": "1744243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1104611235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 JORDAN RD",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370674495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ROWLAND AVE",
"city": "BRIDGEPORT",
"state": "AL",
"postal_code": "357404000",
"telephone_number": "256-695-4495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL HEALTHCARE CENTER AT CREEKSIDE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AMERICAN HEALTH COMPANIES LLC",
"enumeration_date": "2025-04-10",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-614-8404"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Unity Psychiatric Care- Creekside",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bridgeport, AL
- B & L Drugs Inc
- Bridgeport Family Practice OBGYN Clinic
- Bridgeport Pain Clinic
- Ashley Nicole Carper
- Paige Cloud
- Essential Access Healthcare, LLC
All providers in Bridgeport, AL · Psychiatric Hospital in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.