NPIMap

Organization Active NPI

Mental Health Board of Chilton and Shelby Counties Inc

Doing business as Chilton-Shelby Mental Health Center

  • Community/Behavioral Health Agency
  • Clanton, AL
National Provider Identifier
1487829966
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MENTAL HEALTH BOARD OF CHILTON AND SHELBY COUNTIES INC
Doing business as
Chilton-Shelby Mental Health Center
Practice address
110 Medical Center Dr
Clanton, AL 35045-2332
Phone
(205) 755-8800
Fax
(205) 755-8882
NPI assigned
Apr 25, 2008
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MENTAL HEALTH BOARD OF CHILTON AND SHELBY COUNTIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Ms. Melodie D Crawford
Title
Chief Executive Officer
Phone
(205) 668-4308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

110 Medical Center Dr
Clanton, AL 35045-2332

Mailing address

PO Box 689
Calera, AL 35040-0689
Phone (205) 755-8800

Other names 1

  • Chilton-Shelby Mental Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040824001312 AL Part B Supplier - Clinic/Group Practice 7315911344 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pelham, AL; Clanton, AL; Calera, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Chilton Shelby Mental Health2 organizations share this tax ID, including this one
Part of
Chilton Shelby Mental Health

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

110 Medical Center Dr
Clanton, AL 35045
Phone (205) 755-5933

2100 County Services Dr
Pelham, AL 35124
Phone (205) 651-0077

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/centralalabamawellness/r4/

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1487829966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350400689",
            "telephone_number": "205-755-8800",
            "fax_number": "205-755-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MEDICAL CENTER DR",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452332",
            "telephone_number": "205-755-8800",
            "fax_number": "205-755-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH BOARD OF CHILTON AND SHELBY COUNTIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENTAL HEALTH BOARD OF CHILTON AND SHELBY COUNTIES, INC.",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "MELODIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "205-668-4308",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chilton-Shelby Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clanton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.