NPIMap

Organization Active NPI

Clinical and Forensic Psychologists, P.C.

  • Clinical Psychologist
  • Montgomery, AL
National Provider Identifier
1245392091
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CLINICAL AND FORENSIC PSYCHOLOGISTS, P.C.
Practice address
1520 Mulberry St
Montgomery, AL 36106-1520
Phone
(334) 269-1106
Fax
(334) 832-9557
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Ms. Jennie L McGough
Title
Office Manager
Phone
(334) 269-1106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1520 Mulberry St
Montgomery, AL 36106-1520

Mailing address

1520 Mulberry St
Montgomery, AL 36106-1520
Phone (334) 269-1106

Other names 1

  • KIRKLAND & KING Doing business as

National Provider Directory

National Provider Directory

Locations

1520 Mulberry St
Montgomery, AL 36106
Phone (334) 269-1106

Practitioners & affiliated clinicians

Practitioners 4

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": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1245392091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 MULBERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061520",
            "telephone_number": "334-269-1106",
            "fax_number": "334-832-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 MULBERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061520",
            "telephone_number": "334-269-1106",
            "fax_number": "334-832-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL AND FORENSIC PSYCHOLOGISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "MCGOUGH",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-269-1106",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIRKLAND & KING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 11, 2010; 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.