Dudley J Terrell, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

638 Issued in AL

Practice address

2257 Taylor Rd
Suite 200
Montgomery, AL 36117-7790

Phone

(334) 270-9914

NPI assigned

Sep 19, 2012

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Alabama Behavioral Health Associates

  • Psychologist
  • Montgomery, AL
  • NPI 1720338361
  NPD (past) Authorized official

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1457601221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 CARMICHAEL WAY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063671",
            "telephone_number": "334-277-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 TAYLOR RD",
            "address_2": "SUITE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177790",
            "telephone_number": "334-270-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "DUDLEY",
        "middle_name": "J",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Telerad of Alabama Account Management
• James Howard Tennyson, DDS
• Teri W Sandlin DDS PC
• Carliesha Terrell
• Deanne J Terrell, PHD
• Ernest B Terrell, M.D.
• Yolanda Terrell
• Wesley Ann Terry
• Lina Terzian
• Cecelia G Tew, CNM

• Psychologist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.