NPIMap

Organization Active NPI

Sunshine Mental Wellness Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Decatur, AL
National Provider Identifier
1245889609
Registry record updated Oct 13, 2019
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2019

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

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

Mailing address

2128 6TH Ave SE Ste 501
Decatur, AL 35601-6563
Phone (256) 822-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200901003261 AL Part B Supplier - Clinic/Group Practice 9537595699 Receives reassigned benefits from 3 practitioners
Practice locations: Decatur, AL

National Provider Directory

National Provider Directory

Locations

2128 6th Ave SE
Ste 501
Decatur, AL 35601
Phone (256) 345-4492

Practitioners & affiliated clinicians

Practitioners 3

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": "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": []
}

Other providers in Decatur, AL

Sources for this page

  • 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.