Active NPI
William B Meneese, PHD
- Psychologist
- Birmingham, AL
National Provider Identifier
1104939610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 647
- Practice address
- 1 W Lakeshore Dr
Suite 201
Birmingham, AL 35209-0500 - Phone
- (205) 602-9980
- Fax
- (205) 592-8835
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 647 | AL | Primary |
Addresses
Primary practice location
1 W Lakeshore Dr
Suite 201
Birmingham, AL 35209-0500
Mailing address
PO Box 660685
Birmingham, AL 35266-0685
Phone (205) 979-5882
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000090974 | Medicaid | AL | |
| 51090974 | Other | AL | BCBS # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110809000576 | AL | Practitioner - Psychologist Billing Independently | 1153590161 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Sanford School of Medicine of University of South Dakota, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
85 Bagby Dr
Birmingham, AL 35209-3735
Phone (205) 602-9980
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropsychological Services, LLC | Psychologist | Current | Accepting new patients |
| Hammer Center for Pain Management | Past | Accepting new patients |
Locations
1 W Lakeshore Dr
Ste 201
Birmingham, AL 35209
Phone (205) 602-9980
85 Bagby Dr
#302
Birmingham, AL 35209
Phone (205) 602-9980
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Birmingham, AL
- NPI 1427253822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310688000000",
"number": "1104939610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660685",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352660685",
"telephone_number": "205-979-5882",
"fax_number": "205-979-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W LAKESHORE DR",
"address_2": "SUITE 201",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352090500",
"telephone_number": "205-602-9980",
"fax_number": "205-592-8835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENEESE",
"first_name": "WILLIAM",
"middle_name": "B",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2011-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AL",
"license": "647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000090974",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS #",
"identifier": "51090974",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.