Individual provider Active NPI

Jun Liu

  • Psychiatry Physician
  • Madison, AL
National Provider Identifier
1184019903
Registry record updated Jul 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD.35749 Issued in AL
Practice address
600 Sun Temple Dr
Madison, AL 35758-8643
Phone
(256) 288-3333
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2019

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 MD.35749 AL Primary

Addresses

Primary practice location

600 Sun Temple Dr
Madison, AL 35758-8643

Mailing address

600 Sun Temple Dr
Madison, AL 35758-8643
Phone (256) 288-3333

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
I20190521001634 AL Practitioner - Psychiatry 5395013429 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of South Alabama College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Behavioral Health IncGroup PAC ID 7416194113, 109 clinicians

Practice addresses (Care Compare)

600 Sun Temple Dr
Madison, AL 35758-8643
Phone (256) 288-3333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.35749ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Russellville Hospital Inc CurrentSince Sep 1, 2020 Accepting new patients
Integrated Behavioral Health, Inc. Psychiatry CurrentSince May 1, 2019 Accepting new patients
Russellville Hospital Inc CurrentSince Sep 1, 2020 Accepting new patients
Iop Behavioral Health, LLC Past Accepting new patients

Locations

4984 Overton Rd
Birmingham, AL 35210
Phone (205) 768-5558

2205 Beltline Rd SW
Decatur, AL 35601
Phone (256) 306-4000

1615 Kathy Ln SW
Ste 102
Decatur, AL 35603
Phone (256) 686-4441

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

600 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627

1800 Beverly Ave
Muscle Shoals, AL 35661
Phone (256) 320-7475

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

25850 Main St
Ardmore, TN 38449
Phone (931) 427-4050

101 Ivy Ln
Pulaski, TN 38478
Phone (931) 363-3633

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562457600000",
    "number": "1184019903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588643",
            "telephone_number": "256-288-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588643",
            "telephone_number": "256-288-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2019-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD.35749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.