Active NPI
West Alabama Psychiatric Associate
- Legal Medicine
- Northport, AL
National Provider Identifier
1336328533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 791051
- Legal business name
- WEST ALABAMA PSYCHIATRIC ASSOCIATE
- Practice address
- 4804 Highway 69 N
Northport, AL 35473-2035 - Phone
- (205) 330-7700
- Fax
- (205) 330-7718
- NPI assigned
- Oct 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- M O Mohabbat, M.D.
- Title
- Owner
- Phone
- (205) 330-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 791051 | AL | Primary |
Addresses
Primary practice location
4804 Highway 69 N
Northport, AL 35473-2035
Mailing address
4804 Highway 69 N
Northport, AL 35473-2035
Phone (205) 330-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529923550 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
4804 Highway 69 N
Northport, AL 35473
Phone (205) 330-7700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307404800000",
"number": "1336328533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4804 HIGHWAY 69 N",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354732035",
"telephone_number": "205-330-7700",
"fax_number": "205-330-7718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4804 HIGHWAY 69 N",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354732035",
"telephone_number": "205-330-7700",
"fax_number": "205-330-7718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST ALABAMA PSYCHIATRIC ASSOCIATE",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-24",
"last_updated": "2011-06-07",
"status": "A",
"authorized_official_last_name": "MOHABBAT",
"authorized_official_first_name": "M",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-330-7700",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "AL",
"license": "791051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529923550",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northport, AL
- Leslie Kinsaul Welch, ATC
- West Alabama Anesthesia LLC
- West Alabama Emergency Physicians, P.C.
- West Alabama Nephrology, PC
- West Alabama Orthopaedic and Sports Medicine, PC
- West Alabama Regional Commission
- West Alabama Research, Inc.
- West Alabama Speech Pathology Services LLC
- Bradford E. White, PHARMD
- Jacqueline Elaine White, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.