NPIMap

Organization Active NPI

South Central Al Mental Health Board

  • Community/Behavioral Health Agency
  • Andalusia, AL
National Provider Identifier
1508097148
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0894170 Issued in AL
Legal business name
SOUTH CENTRAL AL MENTAL HEALTH BOARD
Practice address
19815 Bay Branch Rd
Andalusia, AL 36420-9234
Phone
(334) 222-2525
Fax
(334) 222-4660
NPI assigned
Jul 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Sabrina L Boddy
Title
HR Director
Phone
(334) 222-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0894170 AL Primary

Addresses

Primary practice location

19815 Bay Branch Rd
Andalusia, AL 36420-9234

Mailing address

19815 Bay Branch Rd
Andalusia, AL 36420-9234
Phone (334) 222-2525

Other identifiers 1

IdentifierTypeStateIssuer
1194866905OtherNPI

National Provider Directory

National Provider Directory
Tax ID family
So Cen Al Mem HLTH Ctr3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1508097148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19815 BAY BRANCH RD",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364209234",
            "telephone_number": "334-222-2525",
            "fax_number": "334-222-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19815 BAY BRANCH RD",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364209234",
            "telephone_number": "334-222-2525",
            "fax_number": "334-222-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL AL MENTAL HEALTH BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "BODDY",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "334-222-2525"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "0894170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194866905",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.