NPIMap

Organization Active NPI

Mental Health Board of Chilton and Shelby Counties Inc

  • 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
Practice address
110 Medical Center Dr
Clanton, AL 35045-2332
Phone
(205) 755-8800
Fax
(205) 755-8882
NPI assigned
Apr 25, 2008
Organization subpart
Yes
Parent organization
MENTAL HEALTH BOARD OF CHILTON AND SHELBY COUNTIES, INC.As reported in NPPES

Authorized official

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

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.

Other NPIs on the same Medicare enrollment 1

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

Corporate family (same tax ID) 1

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

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
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

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Board of Chilton and Shelby Counties Inc (2 organizations share this tax ID)
Part of
Mental Health Board of Chilton and Shelby Counties Inc

Interoperability endpoints

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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 identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
515-11686OtherALBLUE CROSS/BLUE SHIELD ALL KIDS PLUS

Other names 1

NPPES NPI Registry
  • Chilton-Shelby Mental Health Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 25, 2008.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD ALL KIDS PLUS",
            "identifier": "515-11686",
            "state": "AL"
        }
    ],
    "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.