Psychiatry 280, P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD32834 Issued in AL

Legal business name

PSYCHIATRY 280, P.C.

Doing business as

PolekMD

Practice address

2803 Greystone Commercial Blvd Ste 12
Birmingham, AL 35242-9603

Phone

(205) 968-1227

Fax

(205) 968-1229

NPI assigned

Dec 22, 2014

Last updated

Oct 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Andrew Polek, MDNPI 1790004646

Title

Owner

Phone

(256) 499-1629

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PolekMD Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Andrew Polek, M.D.

  • Psychiatry Physician
  • Clarksville, TN
  • NPI 1790004646
  Authorized official Same address or phone
• Jennifer Lyn Setzer, PHARMD

  • Pharmacist
  • Clarksville, TN
  • NPI 1487423489
  NPD
• Mary Lane Gould-Hartline, APRN BC CEDS

  • Psychiatry Physician
  • Hoover, AL
  • NPI 1255387213
  NPD (past)
• John R Langlow III, MD

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1285680942
  NPD (past)

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1528456779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 REDDICK RD",
            "city": "PALMYRA",
            "state": "TN",
            "postal_code": "371422141",
            "telephone_number": "256-499-1629",
            "fax_number": "423-523-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 GREYSTONE COMMERCIAL BLVD STE 12",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352429603",
            "telephone_number": "205-968-1227",
            "fax_number": "205-968-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRY 280, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "POLEK",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-499-1629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD32834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171037",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PolekMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Pruitt
• Valencia M Pruitt, LMSW
• Ashley Przybysz, MD
• Ashley Y Pston, M.S. CCC-SLP
• Psychiatry 280 Counseling Services Inc
• Psychiatry Associates, PC
• Psychiatry South, Inc.
• Psychnet Systems
• Psychological Care Services of Al, LLC
• Liuyichen Pu, DMD

• Psychiatry Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.