NPIMap

Organization Active NPI

Cheaha Regional Mental Health Mental Retardation Board, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sylacauga, AL
National Provider Identifier
1275687451
Registry record updated Jul 18, 2014
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
CHEAHA REGIONAL MENTAL HEALTH MENTAL RETARDATION BOARD, INC.
Practice address
351 W 3Rd St
Sylacauga, AL 35150-1907
Phone
(256) 245-1340
Fax
(256) 245-1343
NPI assigned
Jan 23, 2007
Last updated
Jul 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Ms. Sheila A. Summers
Title
Electronic Claims Administrator
Phone
(256) 245-1340

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X AL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X AL Primary
Substance Abuse Rehabilitation Facility 324500000X AL
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

351 W 3Rd St
Sylacauga, AL 35150-1907

Mailing address

351 W 3Rd St
Sylacauga, AL 35150-1907
Phone (256) 245-1340

Other identifiers 5

IdentifierTypeStateIssuer
510 26112OtherALBCBS OF ALABAMA
515 11684OtherALBCBS OF ALABAMA
510 81173OtherALBCBS OF ALABAMA
510 08112OtherALBCBS OF ALABAMA
510 79003OtherALBCBS OF ALABAMA

National Provider Directory

National Provider Directory

Locations

351 W 3rd St
Sylacauga, AL 35150
Phone (256) 245-1340

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1275687451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 W 3RD ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351501907",
            "telephone_number": "256-245-1340",
            "fax_number": "256-245-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W 3RD ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351501907",
            "telephone_number": "256-245-1340",
            "fax_number": "256-245-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEAHA REGIONAL MENTAL HEALTH MENTAL RETARDATION BOARD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ELECTRONIC CLAIMS ADMINISTRATOR",
        "authorized_official_telephone_number": "256-245-1340",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AL",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "510 26112",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "515 11684",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "510 81173",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "510 08112",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "510 79003",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.