NPIMap

Organization Active NPI

University of South Alabama

Doing business as USA Psychiatry

  • Psychiatry Physician
  • Mobile, AL
National Provider Identifier
1134588734
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
UNIVERSITY OF SOUTH ALABAMA
Doing business as
USA Psychiatry
Practice address
1015 Montlimar Dr
Ste a-210
Mobile, AL 36609-1713
Phone
(251) 460-7189
Fax
(251) 460-6369
NPI assigned
Feb 11, 2016
Last updated
Feb 11, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF SOUTH ALABAMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Authorized official

Name
Harvey Ikner
Title
Asso Admin of Ambulatory Clinics
Phone
(251) 470-1671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

1015 Montlimar Dr
Ste a-210
Mobile, AL 36609-1713

Mailing address

PO Box 40480
Mobile, AL 36640-0480
Phone (251) 434-3626

Other names 1

  • USA Psychiatry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Univ So Al Med Ctr53 organizations share this tax ID, including this one
Part of
Univ So Al Med Ctr

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1134588734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-434-3626",
            "fax_number": "251-445-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MONTLIMAR DR",
            "address_2": "STE A-210",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091713",
            "telephone_number": "251-460-7189",
            "fax_number": "251-460-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTH ALABAMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF SOUTH ALABAMA",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "IKNER",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "ASSO ADMIN OF AMBULATORY CLINICS",
        "authorized_official_telephone_number": "251-470-1671"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.