Organization Active NPI

Psychotherapy Associates, LLC

  • Marriage & Family Therapist
  • Gulf Shores, AL
National Provider Identifier
1417472895
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PSYCHOTHERAPY ASSOCIATES, LLC
Practice address
229 E 20TH Ave Ste 10
Gulf Shores, AL 36542-5106
Phone
(251) 597-1514
NPI assigned
Aug 7, 2017
Last updated
Aug 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

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

Authorized official

Name
Walter Elam, LMFTNPI 1962452284
Title
LMFT
Phone
(251) 510-9577

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
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

229 E 20TH Ave Ste 10
Gulf Shores, AL 36542-5106

Mailing address

153 Orange Ave
Fairhope, AL 36532-1227

National Provider Directory

National Provider Directory

Locations

229 E 20th Ave
Ste 10
Gulf Shores, AL 36542
Phone (251) 597-1514

Practitioners & affiliated clinicians

Practitioners 2

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": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502064000000",
    "number": "1417472895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 ORANGE AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E 20TH AVE STE 10",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365425106",
            "telephone_number": "251-597-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A",
        "authorized_official_last_name": "ELAM",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "251-510-9577",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Shores, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.