Active NPI
Cbphd LLC
- Clinical Psychologist
- Fairhope, AL
National Provider Identifier
1497595763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- CBPHD LLC
- Practice address
- 112 Blakeney Ave
Fairhope, AL 36532-2508 - Phone
- (251) 753-8587
- NPI assigned
- May 25, 2024
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Cathy Jean Brumback, PHD
- Title
- Owner/Psychologist
- Phone
- (251) 753-8587
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Fairhope, AL
- NPI 1770673956
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
112 Blakeney Ave
Fairhope, AL 36532-2508
Mailing address
PO Box 421
Fairhope, AL 36533-0421
Phone (251) 753-8587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 25, 2024.
{
"created_epoch": "1716595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716595200000",
"number": "1497595763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365330421",
"telephone_number": "251-753-8587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 BLAKENEY AVE",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322508",
"telephone_number": "251-753-8587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CBPHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-25",
"last_updated": "2024-05-25",
"certification_date": "2024-05-25",
"status": "A",
"authorized_official_last_name": "BRUMBACK",
"authorized_official_first_name": "CATHY",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
"authorized_official_telephone_number": "251-753-8587",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.