Stewart D. Waddell, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

AL14837 Issued in AL

Practice address

6 Office Park Cir
Ste 202
Birmingham, AL 35223-2512

Phone

(205) 870-8822

Fax

(205) 871-8394

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Alabama School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mind Matters, P.C.

  • Child & Adolescent Psychiatry Physician
  • Birmingham, AL
  • NPI 1689890626
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1427177351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130879",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352130879",
            "telephone_number": "205-870-8822",
            "fax_number": "205-871-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OFFICE PARK CIR",
            "address_2": "STE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352232512",
            "telephone_number": "205-870-8822",
            "fax_number": "205-871-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "STEWART",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AL",
            "license": "AL14837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL #",
            "identifier": "510-78916",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nayana Vuppala
• W David Spruill M D P C
• Theresa M. Wadas, CRNP
• Kristen C Waddell, CRNP
• Rachel Waddell
• Caroline Wade
• Devon Gerhard Wade, MD
• Jamie Tinker Wade, M.S. CCC-SLP, MSHA
• Jeffrey Darrell Wade, M. D.
• Kelly Wade, RD

• Child & Adolescent Psychiatry Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Child & Adolescent Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.