Active NPI
David Anakwenze MD Psychiatric Outreach LLC
- Psychiatry Physician
- Florence, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- AL23908
- Legal business name
- DAVID ANAKWENZE MD PSYCHIATRIC OUTREACH LLC
- Practice address
- 2809 W Mall Dr
Florence, AL 35630-1563 - Phone
- (256) 767-4805
- Fax
- (256) 767-4954
- NPI assigned
- Nov 30, 2006
- Last updated
- May 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Anakwenze, MD
- Title
- Medical Doctor
- Phone
- (256) 767-4805
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | AL23908 | AL | Primary |
Addresses
Primary practice location
2809 W Mall Dr
Florence, AL 35630-1563
Mailing address
2809 W Mall Dr
Florence, AL 35630-1563
Phone (256) 767-4805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D1072795 | Psychiatric Outreach LLC | Certificate of waiver | Aug 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
115B Helton Ct
Florence, AL 35630
Phone (256) 767-4805
2809 W Mall Dr
Florence, AL 35630
Phone (256) 767-4805
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Psychiatry Physician
- Florence, AL
- NPI 1356306559
-
- Psychiatric/Mental Health Nurse Practitioner
- Madison, AL
- NPI 1215483300
-
- Addiction (Substance Use Disorder) Counselor
- Florence, AL
- NPI 1861883423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715212800000",
"number": "1487722302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2809 W MALL DR",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356301563",
"telephone_number": "256-767-4805",
"fax_number": "256-767-4954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2809 W MALL DR",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356301563",
"telephone_number": "256-767-4805",
"fax_number": "256-767-4954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID ANAKWENZE MD PSYCHIATRIC OUTREACH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A",
"authorized_official_last_name": "ANAKWENZE",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "256-767-4805",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "AL23908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.