Individual provider Active NPI

Gordon J. Rankart, PSY.D.

  • Clinical Psychologist
  • Birmingham, AL
National Provider Identifier
1548598022
Registry record updated Nov 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
724 Issued in AL
Practice address
4734 Sylvaner LN
Birmingham, AL 35244-2411
Phone
(205) 985-9799
NPI assigned
Nov 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 724 AL Primary
Clinical Psychologist 103TC0700X PSY002595 GA

Addresses

Primary practice location

4734 Sylvaner LN
Birmingham, AL 35244-2411

Mailing address

4734 Sylvaner LN
Birmingham, AL 35244-2411
Phone (205) 985-9799

Other identifiers 1

IdentifierTypeStateIssuer
000075084MedicaidAL

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

State licenses

LicenseStateTypeSpecialty
PSY002595GAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1258848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258848000000",
    "number": "1548598022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 SYLVANER LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352442411",
            "telephone_number": "205-985-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4734 SYLVANER LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352442411",
            "telephone_number": "205-985-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANKART",
        "first_name": "GORDON",
        "middle_name": "J.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-22",
        "last_updated": "2009-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "724",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002595",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000075084",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 22, 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.