Active NPI
Heath Ryan Patterson, PH.D.
- Forensic Psychologist
- Tuscaloosa, AL
National Provider Identifier
1194094128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 1350
- Practice address
- 1301 Jack Warner Pkwy NE
Tuscaloosa, AL 35404-1060 - Phone
- (205) 454-0065
- NPI assigned
- Dec 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1350 | AL | |
| Forensic Psychologist | 103TF0200X | 1350 | AL | Primary |
Addresses
Primary practice location
1301 Jack Warner Pkwy NE
Tuscaloosa, AL 35404-1060
Mailing address
1301 Jack Warner Pkwy NE
Tuscaloosa, AL 35404-1060
Phone (205) 454-0065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1350 | AL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1194094128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 JACK WARNER PKWY NE",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354041060",
"telephone_number": "205-454-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 JACK WARNER PKWY NE",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354041060",
"telephone_number": "205-454-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "HEATH",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-20",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "1350",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "AL",
"license": "1350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.