Individual provider Active NPI

Romaine Hain, M.D.

  • Psychiatry Physician
  • Birmingham, AL
National Provider Identifier
1154450385
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
00017509 Issued in AL
Practice address
940 Montclair Rd 200
Birmingham, AL 35213-1212
Phone
(205) 595-4555
Fax
(205) 592-3539
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 00017509 AL Primary

Addresses

Primary practice location

940 Montclair Rd 200
Birmingham, AL 35213-1212

Mailing address

940 Montclair Rd 200
Birmingham, AL 35213-1212
Phone (205) 595-4555

Other identifiers 2

IdentifierTypeStateIssuer
051536503OtherALBLUE CROSS BLUE SHIELD
330400638MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060206000911 AL Practitioner - Psychiatry 3072528462 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00017509ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Mental Health Center Inc CurrentSince May 3, 2016 Accepting new patients
Eastside Mental Health Center Past Accepting new patients
Jefferson-Blount-St. Clair MH/Mr Authority Past Accepting new patients
Jefferson-Blount-St. Clair MH/Mr Authority Past Accepting new patients

Locations

129 E Park Cir
Birmingham, AL 35235
Phone (205) 836-7283

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1154450385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 MONTCLAIR RD 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131212",
            "telephone_number": "205-595-4555",
            "fax_number": "205-592-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 MONTCLAIR RD 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131212",
            "telephone_number": "205-595-4555",
            "fax_number": "205-592-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIN",
        "first_name": "ROMAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "00017509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051536503",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330400638",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.