NPIMap

Organization Active NPI

Mental Health Board of Bibb Pickens and Tuscaloosa Counties

Doing business as Indian Rivers CMHC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tuscaloosa, AL
National Provider Identifier
1285809194
Registry record updated Jul 21, 2022
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
MENTAL HEALTH BOARD OF BIBB PICKENS AND TUSCALOOSA COUNTIES
Doing business as
Indian Rivers CMHC
Practice address
1915 6TH St
Tuscaloosa, AL 35401-1722
Phone
(205) 562-3700
Fax
(205) 562-3769
NPI assigned
Apr 23, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MENTAL HEALTH BOARD OF BIBB PICKENS AND TUSCALOOSA COUNTIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. James Moore
Title
Executive Director
Phone
(205) 562-3700

Specialties & licenses 1

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

Addresses

Primary practice location

1915 6TH St
Tuscaloosa, AL 35401-1722

Mailing address

PO Box 2190
Tuscaloosa, AL 35403-2190
Phone (205) 562-3700

Other identifiers 3

IdentifierTypeStateIssuer
528700510MedicaidAL
051008111OtherALBCBS OF AL
051511693OtherALBCBS OF AL

Other names 1

  • Indian Rivers CMHC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Indian River Mental HLTH2 organizations share this tax ID, including this one
Part of
Indian River Mental HLTH

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285809194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2190",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354032190",
            "telephone_number": "205-562-3700",
            "fax_number": "205-562-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 6TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011722",
            "telephone_number": "205-562-3700",
            "fax_number": "205-562-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH BOARD OF BIBB PICKENS AND TUSCALOOSA COUNTIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENTAL HEALTH BOARD OF BIBB PICKENS AND TUSCALOOSA COUNTIES",
        "enumeration_date": "2008-04-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-562-3700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528700510",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "051008111",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "051511693",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian Rivers CMHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.