Organization Active NPI

Samuel E Fleming PHD & Associates LLC

  • Clinical Neuropsychologist
  • Gadsden, AL
National Provider Identifier
1215389341
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
1867 Issued in AL
Legal business name
SAMUEL E FLEMING PHD & ASSOCIATES LLC
Practice address
213 S 5TH St
Gadsden, AL 35901-4217
Phone
(256) 952-2819
Fax
(256) 952-2824
NPI assigned
Jul 13, 2016
Last updated
Jul 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Authorized official

Name
Dr. Samuel E Fleming III, PHD
Title
Owner
Phone
(256) 952-2819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 1867 AL Primary

Addresses

Primary practice location

213 S 5TH St
Gadsden, AL 35901-4217

Mailing address

PO Box 428
Gadsden, AL 35902-0428
Phone (256) 952-2819

Other identifiers 1

IdentifierTypeStateIssuer
159493MedicaidAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1215389341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359020428",
            "telephone_number": "256-952-2819",
            "fax_number": "256-952-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S 5TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014217",
            "telephone_number": "256-952-2819",
            "fax_number": "256-952-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL E FLEMING PHD & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-952-2819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AL",
            "license": "1867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159493",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.