Active NPI
Center for Psychiatry
- Psychiatry Physician
- Guntersville, AL
National Provider Identifier
1598832206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4019
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529801490 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Guntersville, AL
- NPI 1255349858
-
- Psychiatric/Mental Health Nurse Practitioner
- Huntsville, AL
- NPI 1538179205
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.