Organization Active NPI

Cathy J. Brumback,, PH.D., P.C.

  • Psychologist
  • Fairhope, AL
National Provider Identifier
1407946676
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CATHY J. BRUMBACK,, PH.D., P.C.
Practice address
22787 US Highway 98
Suite C2
Fairhope, AL 36532-6329
Phone
(251) 990-2305
NPI assigned
Oct 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cathy J. Brumback, PH.D.NPI 1770673956
Title
President
Phone
(251) 990-2305

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
Psychologist 103T00000X Primary

Addresses

Primary practice location

22787 US Highway 98
Suite C2
Fairhope, AL 36532-6329

Mailing address

22787 US Highway 98
Suite C2
Fairhope, AL 36532-6329
Phone (251) 990-2305

National Provider Directory

National Provider Directory

Locations

22787 US Highway 98
Ste C2
Fairhope, AL 36532
Phone (251) 990-2305

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407946676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22787 US HIGHWAY 98",
            "address_2": "SUITE C2",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365326329",
            "telephone_number": "251-990-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22787 US HIGHWAY 98",
            "address_2": "SUITE C2",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365326329",
            "telephone_number": "251-990-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHY J. BRUMBACK,, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUMBACK",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-990-2305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.