Organization Active NPI

Cullman Psychiatry & Wellness, LLC

  • Psychiatry Physician
  • Cullman, AL
National Provider Identifier
1437923992
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CULLMAN PSYCHIATRY & WELLNESS, LLC
Practice address
417 3Rd Ave SW
Cullman, AL 35055
Phone
(256) 297-3215
NPI assigned
Nov 14, 2023
Last updated
Dec 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Mrs. Ali Anderson Adams, PMHNP-BCNPI 1528682804
Title
Psychiatric Nurse Practitioner
Phone
(205) 706-2630

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

417 3Rd Ave SW
Cullman, AL 35055

Mailing address

417 3Rd Ave SW
Cullman, AL 35055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240123001040 AL Part B Supplier - Clinic/Group Practice 2860844123 Receives reassigned benefits from 4 practitioners
Practice locations: Cullman, AL

National Provider Directory

National Provider Directory

Locations

308 Graham St SW
Cullman, AL 35055
Phone (256) 297-3215

417 3rd Ave SW
Cullman, AL 35055
Phone (256) 297-3215

Practitioners & affiliated clinicians

Practitioners 4

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": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1437923992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 3RD AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "35055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 3RD AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "35055",
            "telephone_number": "256-297-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLMAN PSYCHIATRY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "205-706-2630",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.

Verify at the official NPI Registry.