Individual provider Active NPI

Angelynne Amick McMullan, PH.D.

  • Cognitive & Behavioral Psychologist
  • Birmingham, AL
National Provider Identifier
1497811798
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
603 Issued in AL
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
603ALMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bair Peacock McDonald McMullan & Bell PC CurrentSince Sep 6, 1999 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.

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.

Verify at the official NPI Registry.