Organization Active NPI

Cbphd LLC

  • Clinical Psychologist
  • Fairhope, AL
National Provider Identifier
1497595763
Registry record updated May 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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, PHDNPI 1770673956
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.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.