NPIMap

Organization Active NPI

Glenwood

  • Community/Behavioral Health Agency
  • Montgomery, AL
National Provider Identifier
1225079262
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GLENWOOD
Practice address
2361 Fairlane Dr
Montgomery, AL 36116-1633
Phone
(334) 262-5744
Fax
(334) 262-5155
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
D Lee Yount
Title
Executive Director
Phone
(205) 795-3210

Specialties & licenses 1

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

Addresses

Primary practice location

2361 Fairlane Dr
Montgomery, AL 36116-1633

Mailing address

2361 Fairlane Dr
Montgomery, AL 36116-1633
Phone (334) 262-5744

Other identifiers 1

IdentifierTypeStateIssuer
529925380MedicaidAL

Other names 1

  • Center for Child and Adolescent Development Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Glenwood Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2361 Fairlane Dr
Montgomery, AL 36116
Phone (334) 262-5744

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1225079262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 FAIRLANE DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161633",
            "telephone_number": "334-262-5744",
            "fax_number": "334-262-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 FAIRLANE DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161633",
            "telephone_number": "334-262-5744",
            "fax_number": "334-262-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "YOUNT",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-795-3210"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529925380",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Child and Adolescent Development",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.