Individual provider Active NPI

Robert D Oatsvall, PHD

  • Psychologist
  • Mount Vernon, AL
National Provider Identifier
1598867988
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
500 Issued in AL
Practice address
725 East Coy Smith Highway
Mt Vernon, AL 36560
Phone
(251) 662-6700
Fax
(251) 829-5385
NPI assigned
Sep 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 500 AL Primary

Addresses

Primary practice location

725 East Coy Smith Highway
Mt Vernon, AL 36560

Mailing address

PO Box 1090
725 East Coy Smith Highway
Mt Vernon, AL 36560
Phone (251) 662-6700

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
500ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
State of Alabama Dept of Finance Past Accepting new patients
State of Alabama Dept of Finace Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598867988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "address_2": "725 EAST COY SMITH HIGHWAY",
            "city": "MT VERNON",
            "state": "AL",
            "postal_code": "36560",
            "telephone_number": "251-662-6700",
            "fax_number": "251-829-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 EAST COY SMITH HIGHWAY",
            "city": "MT VERNON",
            "state": "AL",
            "postal_code": "36560",
            "telephone_number": "251-662-6700",
            "fax_number": "251-829-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OATSVALL",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.