Organization Active NPI

Parents Resource Institute for Drug Education (Pride) of Tuscaloosa

  • Community/Behavioral Health Agency
  • Tuscaloosa, AL
National Provider Identifier
1316466238
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PARENTS RESOURCE INSTITUTE FOR DRUG EDUCATION (PRIDE) OF TUSCALOOSA
Doing business as
PRIDE of Tuscaloosa
Practice address
620 14TH Street
Suite E
Tuscaloosa, AL 35401
Phone
(205) 764-0351
NPI assigned
Sep 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

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

Authorized official

Name
Derek Osborn, CPS
Title
Executive Director
Phone
(205) 764-0351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

620 14TH Street
Suite E
Tuscaloosa, AL 35401

Mailing address

620 14TH St Ste E
Tuscaloosa, AL 35401-3460

Other names 1

  • PRIDE of Tuscaloosa Doing business as

National Provider Directory

National Provider Directory

Locations

620 14th St
Ste E
Tuscaloosa, AL 35401
Phone (205) 764-0351

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505174400000",
    "number": "1316466238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 14TH ST STE E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354013460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 14TH STREET",
            "address_2": "SUITE E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35401",
            "telephone_number": "205-764-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARENTS RESOURCE INSTITUTE FOR DRUG EDUCATION (PRIDE) OF TUSCALOOSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-09-12",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-764-0351",
        "authorized_official_credential": "CPS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIDE of Tuscaloosa",
            "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 Sep 12, 2017; 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.