Organization Active NPI

Faith Based Psychological Associates, Inc

  • Community/Behavioral Health Agency
  • Sheffield, AL
National Provider Identifier
1124254115
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1483 Issued in AL
Legal business name
FAITH BASED PSYCHOLOGICAL ASSOCIATES, INC
Practice address
320 N Montgomery Ave
Sheffield, AL 35660-2709
Phone
(256) 483-1377
NPI assigned
Jun 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. Dennis Sizelove, M-DIV, PHDNPI 1497929871
Title
Psychologist
Phone
(256) 483-1377

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
Community/Behavioral Health Agency 251S00000X 1483 AL Primary

Addresses

Primary practice location

320 N Montgomery Ave
Sheffield, AL 35660-2709

Mailing address

1211 N Nashville Ave
Sheffield, AL 35660-7325
Phone (256) 483-1377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090608000206 AL Part B Supplier - Clinic/Group Practice 6103976469 Receives reassigned benefits from 1 practitioner
Practice locations: Sheffield, AL

National Provider Directory

National Provider Directory

Locations

320 N Montgomery Ave
Sheffield, AL 35660
Phone (256) 320-5348

201 E 5th St
Tuscumbia, AL 35674
Phone (256) 320-5348

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": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1124254115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N NASHVILLE AVE",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356607325",
            "telephone_number": "256-483-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N MONTGOMERY AVE",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356602709",
            "telephone_number": "256-483-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH BASED PSYCHOLOGICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "SIZELOVE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "256-483-1377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M-DIV, PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "1483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.