Individual provider Active NPI

Jonathan Mark Westfall, M.D.

  • Psychiatry Physician
  • Homewood, AL
National Provider Identifier
1316021967
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20087 Issued in AL
Practice address
1 Independence PLZ
Suite 325
Homewood, AL 35209-2629
Phone
(205) 623-2171
Fax
(205) 414-7030
NPI assigned
Oct 24, 2006
Last updated
Oct 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20087 AL Primary

Addresses

Primary practice location

1 Independence PLZ
Suite 325
Homewood, AL 35209-2629

Mailing address

1 Independence PLZ
Suite 325
Homewood, AL 35209-2629
Phone (205) 623-2171

Other identifiers 1

IdentifierTypeStateIssuer
51109306OtherALBLUE CROSS OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051130000959 AL Practitioner - Psychiatry 2668444688 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20087ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shoals Health Group LLC Psychiatry CurrentSince Jan 3, 2023 Accepting new patients
BHC - Edwin Moyo MD Past Accepting new patients
RCHP - Florence LLC Past Accepting new patients
Montclair Psychiatric Services PC Psychiatry PastSince Aug 10, 2004 Accepting new patients
Alabama Psychotherapy and Wellness Center Past Accepting new patients

Locations

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

203 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-4940

203 Avalon Ave
Ste 300
Muscle Shoals, AL 35661
Phone (256) 386-1132

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1316021967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLZ",
            "address_2": "SUITE 325",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352092629",
            "telephone_number": "205-623-2171",
            "fax_number": "205-414-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLZ",
            "address_2": "SUITE 325",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352092629",
            "telephone_number": "205-623-2171",
            "fax_number": "205-414-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTFALL",
        "first_name": "JONATHAN",
        "middle_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "20087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ALABAMA",
            "identifier": "51109306",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.