NPIMap

Organization Active NPI

Glenwood Inc

  • Speech-Language Pathologist
  • Birmingham, AL
National Provider Identifier
1265690150
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2279 Issued in AL
Legal business name
GLENWOOD INC
Practice address
150 Glenwood LN
Birmingham, AL 35242-5700
Phone
(205) 969-2880
Fax
(205) 795-3390
NPI assigned
May 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Authorized official

Name
Mr. Pete McCalla
Title
Mis Manager
Phone
(205) 969-2880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 2731 AL
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 2279 AL Primary

Addresses

Primary practice location

150 Glenwood LN
Birmingham, AL 35242-5700

Mailing address

150 Glenwood LN
Birmingham, AL 35242-5700
Phone (205) 969-2880

Other identifiers 1

IdentifierTypeStateIssuer
528903380MedicaidAL

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.

  • Glenwood
    • Community/Behavioral Health Agency
    • Montgomery, AL
    • NPI 1225079262
    NPD tax ID
  • Glenwood Inc
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Birmingham, AL
    • NPI 1194990481
    NPD tax ID
  • Glenwood, Inc.
    • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
    • Birmingham, AL
    • NPI 1285646430
    NPD tax ID
  • Glenwood, Inc.
    • Emotionally Disturbed Childrens' Residential Treatment Facility
    • Birmingham, AL
    • NPI 1598937138
    NPD tax ID
  • Glenwood,Inc
    • Community/Behavioral Health Agency
    • Birmingham, AL
    • NPI 1124487228
    NPD tax ID

Locations

614 38th St S
Birmingham, AL 35222
Phone (205) 795-3240

3721 6th Ave S
Birmingham, AL 35222
Phone (205) 795-3240

150 Glenwood Ln
Birmingham, AL 35242
Phone (205) 795-3240

Practitioners & affiliated clinicians

Practitioners 61

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

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1265690150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 GLENWOOD LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425700",
            "telephone_number": "205-969-2880",
            "fax_number": "205-795-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GLENWOOD LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425700",
            "telephone_number": "205-969-2880",
            "fax_number": "205-795-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "MCCALLA",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "MIS MANAGER",
        "authorized_official_telephone_number": "205-969-2880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "2731",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528903380",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.