Active NPI
Angelynne Amick McMullan, PH.D.
- Cognitive & Behavioral Psychologist
- Birmingham, AL
National Provider Identifier
1497811798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 603
- Practice address
- 300 Vestavia Office Park
Suite 3200
Birmingham, AL 35216-3753 - Phone
- (205) 822-7348
- Fax
- (205) 822-7297
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 603 | AL | Primary |
Addresses
Primary practice location
300 Vestavia Office Park
Suite 3200
Birmingham, AL 35216-3753
Mailing address
300 Vestavia Office Park
Suite 3200
Birmingham, AL 35216-3753
Phone (205) 822-7348
Other names 1
- Dr. Angelynne Elizabeth McMullan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 603 | AL | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bair Peacock McDonald McMullan & Bell PC | Current | Accepting new patients |
Locations
400 Vestavia Pkwy
Ste 101
Vestavia, AL 35216
Phone (205) 239-4675
300 Vestavia Pkwy
Ste 3200
Vestavia, AL 35216
Phone (205) 716-6700
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Birmingham, AL
- NPI 1417139726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497811798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 VESTAVIA OFFICE PARK",
"address_2": "SUITE 3200",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352163753",
"telephone_number": "205-822-7348",
"fax_number": "205-822-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 VESTAVIA OFFICE PARK",
"address_2": "SUITE 3200",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352163753",
"telephone_number": "205-822-7348",
"fax_number": "205-822-7297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMICK MCMULLAN",
"first_name": "ANGELYNNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "AL",
"license": "603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELYNNE",
"last_name": "MCMULLAN",
"middle_name": "ELIZABETH",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.