Todd Douglas Luellen, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

19906 Issued in AL

Practice address

3263 Demetropolis Rd
Suite 11
Mobile, AL 36693-4638

Phone

(251) 602-5850

Fax

(251) 602-5855

NPI assigned

Jun 5, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Poarch Band of Creek Indians

  dba Poarch Creek Indian Health Department

  • Federally Qualified Health Center (FQHC)
  • Atmore, AL
  • NPI 1902916489

  TX

  Medicare reassignment
• Southwest Alabama Behavioral Health Care Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroeville, AL
  • NPI 1881628162
  NPD (past)
• Southwest Alabama Mental Health

  • Community/Behavioral Health Agency
  • Monroeville, AL
  • NPI 1336337500
  NPD (past)
• Southwest Alabama Mental Health/Mental Retardation Inc.

  • Community/Behavioral Health Agency
  • Grove Hill, AL
  • NPI 1104014554
  NPD (past)
• State of Alabama Dept of Finace

  dba Taylor Hardin Secure Medical Facility

  • Psychiatric Hospital
  • Tuscaloosa, AL
  • NPI 1437295409
  NPD (past)
• State of Alabama Dept of Finance

  dba Searcy Hospital

  • Psychiatric Hospital
  • Mount Vernon, AL
  • NPI 1427066307
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1437351905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3263 DEMETROPOLIS RD",
            "address_2": "SUITE 11",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366934638",
            "telephone_number": "251-602-5850",
            "fax_number": "251-602-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3263 DEMETROPOLIS RD",
            "address_2": "SUITE 11",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366934638",
            "telephone_number": "251-602-5850",
            "fax_number": "251-602-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUELLEN",
        "first_name": "TODD",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AL",
            "license": "19906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Darnell Lucas Sr., M.D.
• Julie Rose Lucas, PA-C
• Tiffany Lucas, AGNP-C
• Virginia Hamilton Behlen Lucas, DMD
• Wyndolyn Ludwikowski, PHD
• Brian D Luke, PHARMD
• Chelsea L Lukenbill
• Gail Anita Luker, CRNP
• George N Lukes, DMD
• Lumiere Transportation Services

• Child & Adolescent Psychiatry Physician in Mobile, AL
• Providers in Mobile, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.