Organization Active NPI

The Wealth Lounge

  • Clinical Psychologist
  • Enterprise, AL
National Provider Identifier
1346658796
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1725 Issued in AL
Legal business name
THE WEALTH LOUNGE
Practice address
557 Glover Ave
Suite 3
Enterprise, AL 36330-2070
Phone
(334) 489-4448
Fax
(334) 347-2919
NPI assigned
Jul 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Dr. Tabitha A Gressard, PSY.D.
Title
Clinical Psychologis
Phone
(334) 489-4448

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1725 AL Primary
Community/Behavioral Health Agency 251S00000X 1725 AL

Addresses

Primary practice location

557 Glover Ave
Suite 3
Enterprise, AL 36330-2070

Mailing address

557 Glover Ave.
Suite 3
Enterprise, AL 36330-2070
Phone (334) 489-4448

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1346658796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 GLOVER AVE.",
            "address_2": "SUITE 3",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302070",
            "telephone_number": "334-489-4448",
            "fax_number": "334-347-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 GLOVER AVE",
            "address_2": "SUITE 3",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302070",
            "telephone_number": "334-489-4448",
            "fax_number": "334-347-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WEALTH LOUNGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "GRESSARD",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIS",
        "authorized_official_telephone_number": "334-489-4448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1725",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "1725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.