Sunshine Mental Wellness Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SUNSHINE MENTAL WELLNESS INC

Practice address

2128 6TH Ave SE Ste 501
Decatur, AL 35601-6563

Phone

(256) 345-4492

NPI assigned

Sep 9, 2019

Last updated

Oct 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Graham, MSN, CRNP, PMHNP-BCNPI 1730587551

Title

President/Owner

Phone

(256) 822-2002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Ann Graham, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Decatur, AL
  • NPI 1730587551
  Medicare reassignment NPD Authorized official
• Leah Barrier, LICSW

  • Clinical Social Worker
  • Decatur, AL
  • NPI 1306047683
  Medicare reassignment NPD
• William John Crain, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, AL
  • NPI 1649890286
  Medicare reassignment NPD

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570924800000",
    "number": "1245889609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 6TH AVE SE STE 501",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016563",
            "telephone_number": "256-822-2002",
            "fax_number": "256-822-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 6TH AVE SE STE 501",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016563",
            "telephone_number": "256-345-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE MENTAL WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-10-13",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "256-822-2002",
        "authorized_official_credential": "MSN, CRNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Kaye Sullivan, MS, LPC
• William Larry Sullivan, MD
• Scott Michael Sumners, D.M.D
• Sunbridge Healthcare LLC (River City Center)
• Sunbridge Home Health Care, Inc.
• Sunsouth Diabetic Solutions, LLC (Decatur Pharmacy & Diabetic Supply)
• Sunsouth Diabetic Solutions, LLC (Diabetic Solutions Pharmacy)
• Surgery Center of Decatur LP
• Surgery Consultants of Decatur, PC
• Surgical Associates of N Alabama

• Mental Health Clinic/Center (Including Community Mental Health Center) in Decatur, AL
• Providers in Decatur, AL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.