Organization Active NPI

Capstone Family Therapy Clinic

  • Community/Behavioral Health Agency
  • Northport, AL
National Provider Identifier
1194931410
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
21497 Issued in AL
Legal business name
CAPSTONE FAMILY THERAPY CLINIC
Practice address
12017 Grandview Dr
Northport, AL 35475-2650
Phone
(205) 330-1498
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Linda E Enders, PH.D.
Title
Associate Professor
Phone
(205) 348-8147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 21497 AL Primary

Addresses

Primary practice location

12017 Grandview Dr
Northport, AL 35475-2650

Mailing address

12017 Grandview Dr
Northport, AL 35475-2650
Phone (205) 330-1498

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194931410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12017 GRANDVIEW DR",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354752650",
            "telephone_number": "205-330-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12017 GRANDVIEW DR",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354752650",
            "telephone_number": "205-330-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE FAMILY THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENDERS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ASSOCIATE PROFESSOR",
        "authorized_official_telephone_number": "205-348-8147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "21497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.