Individual provider Active NPI

Dennis Sizelove, PH.D.

  • Psychologist
  • Tuscumbia, AL
National Provider Identifier
1497929871
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1483 Issued in AL
Practice address
201 E 5TH St
Tuscumbia, AL 35674-2519
Phone
(256) 320-5348
Fax
(256) 320-5351
NPI assigned
Apr 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1483 AL Primary

Addresses

Primary practice location

201 E 5TH St
Tuscumbia, AL 35674-2519

Mailing address

201 E 5TH St
Tuscumbia, AL 35674-2519
Phone (256) 320-5348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090608000190 AL Practitioner - Clinical Psychologist 3577613835 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1483ALMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Based Psychological Associates, Inc CurrentSince Jun 8, 2009 Accepting new patients

Locations

320 N Montgomery Ave
Sheffield, AL 35660
Phone (256) 320-5348

201 E 5th St
Tuscumbia, AL 35674
Phone (256) 320-5348

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": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1497929871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 5TH ST",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356742519",
            "telephone_number": "256-320-5348",
            "fax_number": "256-320-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 5TH ST",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356742519",
            "telephone_number": "256-320-5348",
            "fax_number": "256-320-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZELOVE",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "1483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscumbia, AL

Sources for this page

Verify at the official NPI Registry.