NPIMap

Organization Active NPI

Dr. Phoha

  • Community/Behavioral Health Agency
  • Tuscaloosa, AL
National Provider Identifier
1508051350
Registry record updated Sep 13, 2007
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Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
000893 Issued in AL
Legal business name
DR. PHOHA
Practice address
1321 McFarland Blvd E # 100
Tuscaloosa, AL 35404-3839
Phone
(205) 331-7781
Fax
(205) 758-8880
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Dr. Raj L. Phoha
Title
Psychologist
Phone
(205) 331-7781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 000893 AL Primary

Addresses

Primary practice location

1321 McFarland Blvd E # 100
Tuscaloosa, AL 35404-3839

Mailing address

PO Box 41027
Tuscaloosa, AL 35404-7027
Phone (205) 331-7781

National Provider Directory

National Provider Directory

Locations

1321 McFarland Blvd E
#100
Tuscaloosa, AL 35404
Phone (205) 331-7781

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1508051350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41027",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354047027",
            "telephone_number": "205-331-7781",
            "fax_number": "205-758-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 MCFARLAND BLVD E # 100",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354043839",
            "telephone_number": "205-331-7781",
            "fax_number": "205-758-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PHOHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "PHOHA",
        "authorized_official_first_name": "RAJ L.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "205-331-7781",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "000893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.