Organization Active NPI

Triebel Neuropsych Services LLC

  • Clinical Neuropsychologist
  • Pelham, AL
National Provider Identifier
1376273060
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
TRIEBEL NEUROPSYCH SERVICES LLC
Practice address
1940 Highway 33 Unit a
Pelham, AL 35124-4887
Phone
(205) 664-4010
Fax
(205) 664-9928
NPI assigned
Jun 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Kristen Triebel, PSYDNPI 1881854180
Title
Clinical Psychologist
Phone
(205) 664-4010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

1940 Highway 33 Unit a
Pelham, AL 35124-4887

Mailing address

1940 Highway 33 Unit a
Pelham, AL 35124-4887
Phone (205) 664-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220825001054 AL Part B Supplier - Clinic/Group Practice 8426432469 Receives reassigned benefits from 1 practitioner
Practice locations: Pelham, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1376273060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 HIGHWAY 33 UNIT A",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244887",
            "telephone_number": "205-664-4010",
            "fax_number": "205-664-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 HIGHWAY 33 UNIT A",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244887",
            "telephone_number": "205-664-4010",
            "fax_number": "205-664-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIEBEL NEUROPSYCH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "TRIEBEL",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "205-664-4010",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.