Active NPI
Southeastern Psychiatric Management, Inc.
Doing business as GrandView Behavioral Health Center
- Mental Health Counselor
- Opelika, AL
National Provider Identifier
1427112911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SOUTHEASTERN PSYCHIATRIC MANAGEMENT, INC.
- Doing business as
- GrandView Behavioral Health Center
- Practice address
- 2202A Gateway Drive
Opelika, AL 36801 - Phone
- (334) 745-6125
- Fax
- (334) 745-8102
- NPI assigned
- Dec 20, 2006
- Last updated
- Mar 11, 2008
- 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
- Ms. Joy R Ballenger
- Title
- Credentialing Network Manager
- Phone
- (256) 546-9265
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
2202A Gateway Drive
Opelika, AL 36801
Mailing address
3001 Scenic Hwy
Gadsden, AL 35904-3047
Phone (256) 546-9265
Other names 1
- GrandView Behavioral Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050420000219 | AL | Part B Supplier - Clinic/Group Practice | 5799743928 |
Receives reassigned benefits from 8 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Gadsden, AL |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba GrandView Behavioral Health Center
- Mental Health Counselor
- Fort Payne, AL
- NPI 1154485647
O20050420000219
-
dba GrandView Behavioral Health Center
- Mental Health Counselor
- Gadsden, AL
- NPI 1144384637
O20050420000219
-
dba GrandView Behavioral Health Center
- Mental Health Counselor
- Anniston, AL
- NPI 1205999455
O20050420000219
-
dba Mountain View Hospital
- Psychiatric Hospital
- Gadsden, AL
- NPI 1346240470
O20050420000219
-
dba GrandView Behavioral Health Center
- Mental Health Counselor
- Montgomery, AL
- NPI 1699839183
O20050420000219
National Provider Directory
National Provider DirectoryLocations
2202 Gateway Dr
Ste A
Opelika, AL 36801
Phone (256) 546-9265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205193600000",
"number": "1427112911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 SCENIC HWY",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359043047",
"telephone_number": "256-546-9265",
"fax_number": "256-549-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202A GATEWAY DRIVE",
"city": "OPELIKA",
"state": "AL",
"postal_code": "36801",
"telephone_number": "334-745-6125",
"fax_number": "334-745-8102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEASTERN PSYCHIATRIC MANAGEMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2008-03-11",
"status": "A",
"authorized_official_last_name": "BALLENGER",
"authorized_official_first_name": "JOY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CREDENTIALING NETWORK MANAGER",
"authorized_official_telephone_number": "256-546-9265",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GrandView Behavioral Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Opelika, AL
- Stephen Andrew Smith Sr., RPH
- Steven Smith, LPC
- Zachary Smith, DO
- Elizabeth Sherwood Sosebee, CRNP
- Southeast Medical Center LLC
- Southern Eye Care Associates LLC (Whatley Eye Care)
- Southern Home Care Services, Inc.
- Southern Ketamine and Wellness, LLC
- Southerncare Inc (SouthernCare Opelika)
- Andria C Spates, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.