NPIMap

Organization Active NPI

The Children's Hospital of Alabama

  • Psychologist
  • Birmingham, AL
National Provider Identifier
1114025103
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
THE CHILDREN'S HOSPITAL OF ALABAMA
Practice address
1600 7TH Ave S
Ireland Center-4TH Floor Dearth
Birmingham, AL 35233-1711
Phone
(205) 638-9193
Fax
(205) 638-9949
NPI assigned
Sep 21, 2006
Last updated
Sep 18, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
THE CHILDREN'S HOSPITAL OF ALABAMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Dawn Walton
Title
Cfo
Phone
(205) 638-9901

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary
Psychiatry Physician 2084P0800X

Addresses

Primary practice location

1600 7TH Ave S
Ireland Center-4TH Floor Dearth
Birmingham, AL 35233-1711

Mailing address

PO Box 114070536
Birmingham, AL 35246-0536
Phone (205) 638-5600

Other identifiers 2

IdentifierTypeStateIssuer
010840OtherALOP PSYCH BLUE CROSS
529100500MedicaidAL

Other names 1

  • Children's Behavioral Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Childrens Hosp Phy Bill20 organizations share this tax ID, including this one
Part of
Childrens Hosp Phy Bill

Other organizations with this tax ID 19

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

View all 19

Locations

1600 7th Ave S
Ste 500
Birmingham, AL 35233
Phone (205) 939-9193

813 Shades Creek Pkwy
Ste 202A
Birmingham, AL 35209
Phone (205) 870-5678

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1114025103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114070536",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460536",
            "telephone_number": "205-638-5600",
            "fax_number": "205-638-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE S",
            "address_2": "IRELAND CENTER-4TH FLOOR DEARTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331711",
            "telephone_number": "205-638-9193",
            "fax_number": "205-638-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S HOSPITAL OF ALABAMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHILDREN'S HOSPITAL OF ALABAMA",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-638-9901"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OP PSYCH BLUE CROSS",
            "identifier": "010840",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529100500",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Behavioral Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Children's Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 18, 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.