Organization Active NPI

Center for Psychiatry

  • Psychiatry Physician
  • Guntersville, AL
National Provider Identifier
1598832206
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4019 Issued in AL
Legal business name
CENTER FOR PSYCHIATRY
Practice address
1510 Gunter Ave
Guntersville, AL 35976-1848
Phone
(256) 582-8833
Fax
(256) 582-8335
NPI assigned
Nov 29, 2006
Last updated
Aug 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Dr. Mary Traynor, M.D.
Title
Owner
Phone
(256) 582-8833

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1457C AL
Psychiatry Physician 2084P0800X 4019 AL Primary

Addresses

Primary practice location

1510 Gunter Ave
Guntersville, AL 35976-1848

Mailing address

PO Box 959
Guntersville, AL 35976-0959
Phone (256) 582-8833

Other identifiers 1

IdentifierTypeStateIssuer
529801490MedicaidAL

National Provider Directory

National Provider Directory

Locations

2309 Highway 79 S
Guntersville, AL 35976
Phone (256) 582-8833

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1598832206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359760959",
            "telephone_number": "256-582-8833",
            "fax_number": "256-582-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 GUNTER AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359761848",
            "telephone_number": "256-582-8833",
            "fax_number": "256-582-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "TRAYNOR",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-582-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1457C",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "4019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529801490",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.