NPIMap

Organization Active NPI

Northwest Alabama Mental Health Center

  • Adolescent and Children Mental Health Clinic/Center
  • Jasper, AL
National Provider Identifier
1154596971
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
NORTHWEST ALABAMA MENTAL HEALTH CENTER
Practice address
1100 7TH Ave
Jasper, AL 35501-4377
Phone
(205) 302-9000
Fax
(205) 384-8270
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Mr. Floyd F Newman Jr.
Title
Executive Director
Phone
(205) 302-9053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X AL Primary

Addresses

Primary practice location

1100 7TH Ave
Jasper, AL 35501-4377

Mailing address

1100 7TH Ave
Jasper, AL 35501-4377
Phone (205) 302-9000

Other identifiers 1

IdentifierTypeStateIssuer
515 11700OtherALBLUE CROSS AND BLUE SHIELD - ALL KIDS PLUS

National Provider Directory

National Provider Directory
Tax ID family
Northwest Alabama Mental Health Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1154596971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 7TH AVE",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014377",
            "telephone_number": "205-302-9000",
            "fax_number": "205-384-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 7TH AVE",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014377",
            "telephone_number": "205-302-9000",
            "fax_number": "205-384-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ALABAMA MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-302-9053",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD - ALL KIDS PLUS",
            "identifier": "515 11700",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.