State of Alabama Dept of Finace
Organization Active NPI Psychiatric Hospital · Tuscaloosa, AL
NPI 1437295409 · NPPES record last updated Feb 14, 2011
Key facts
- NPI
- 1437295409
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital 283Q00000X
- Legal business name
- STATE OF ALABAMA DEPT OF FINACE
- Practice address
- 1301 Jack Warner Parkway, Northeast
Tuscaloosa, AL 35404-1060 - Phone
- (205) 556-7060
- Fax
- (205) 556-1198
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Shelia D Taylor, BSN, MPH
- Title
- Facility Director
- Phone
- (205) 556-7060
Other NPIs on the same Medicare enrollment 5
Member of 1
Practitioners 80
-
David U Anakwenze, M.D.
-
Cierra Silver Ball, APRN, PMHNP-BC
-
Jermeka Brown, CRNP
-
Cassandra Campbell, CRNP
-
Jennifer F Gardner, PHD
-
Cheryl Voncille Harvey, CRNP
-
Sharon Ann Hawkins, CRNP
-
Scott W Kemp, D.O.
-
Marguerite Deborah Malone, PH.D.
-
Philip Tracy Massa, M.D.
-
Alan J Maxwell, M.D.
-
Casey Elizabeth Moore, RN, MSN, FNP-C
-
John O Newcomb, M.D.
-
Dana Ofeldt, PMHNP-BC
-
Kamal Khan Raisani, M.D.
-
Sanjay K Singh, MD
-
Robin Spoon Barton, MEDICAL DOCTOR
-
Mark A Woods, MD
-
Zynnia C Zafra, MD
-
Antonowsky D Coleman, PSYCHIATRY MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2311641 | Taylor Hardin Secure Medical Facility | Certificate of waiver | Sep 24, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031205000194 | AL | Part B Supplier - Clinic/Group Practice | 5698684090 |
Receives reassigned benefits from 32 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tuscaloosa, AL; Mount Vernon, AL; Montgomery, AL; Decatur, AL |
National Provider Directory
Locations
501 Dexter Ave
Montgomery, AL 36104
Phone (334) 242-4825
2140 Upper Wetumpka Rd
Montgomery, AL 36107
Phone (334) 262-0363
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Yes |
Addresses
Primary practice location
1301 Jack Warner Parkway, Northeast
Tuscaloosa, AL 35404-1060
Mailing address
1301 Jack Warner Parkway, Northeast
Tuscaloosa, AL 35404-1060
Phone (205) 556-7060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014011 | Other | PROVIDER NUMBER |
Other names
- Taylor Hardin Secure Medical Facility
Other providers in Tuscaloosa, AL
- State of Alabama Department of Finance
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- State of Alabama Dept of Finance
- State of Alabama Dept of Mental Health & Mental Retardation
- Ashley Wambolt Steiner
- Hunter Vauhn Steiner
- Rachel Steiner
All providers in Tuscaloosa, AL · Psychiatric Hospital in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.