Althelda Campbell Stallworth

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Practice address

3220 Meadow LN
Mobile, AL 36618-4638

Phone

(251) 209-1894

Fax

(251) 459-0991

NPI assigned

Oct 26, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Meadows Place Group Home Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Mobile, AL
  • NPI 1063910552
  NPD (past) Authorized official

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1154833499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 FERNWOOD LOOP W",
            "city": "SEMMES",
            "state": "AL",
            "postal_code": "365757562",
            "telephone_number": "251-209-1894",
            "fax_number": "251-459-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 MEADOW LN",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366184638",
            "telephone_number": "251-209-1894",
            "fax_number": "251-459-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLWORTH",
        "first_name": "ALTHELDA",
        "middle_name": "CAMPBELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtnee Criswell Stagner, CRNP
• Jean Evans Stalcup
• Stalder Plastic Surgery Alabama LLC
• William Terry Stallings, M.D.
• Marnita Monique Stallworth Jones, AGPCNP
• Bre'Yana Michelle Stallworth
• Mary M Stallworth, RPH
• Patty Stallworth, CEO
• Tamela Stallworth
• Thomas Stallworth, ARNP

• Intellectual & Developmental Disabilities Psychologist in Mobile, AL
• Providers in Mobile, AL by specialty
• Intellectual & Developmental Disabilities Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.