Active NPI
Donald Joseph Wendorf, PSY.D.
- Clinical Psychologist
- Birmingham, AL
National Provider Identifier
1609943133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 255
- Practice address
- 2700 Rogers Dr Ste 101
Pitts & Associates, Incorporated
Birmingham, AL 35209-2055 - Phone
- (205) 870-3520
- Fax
- (205) 870-3522
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 255 | AL | Primary |
Addresses
Primary practice location
2700 Rogers Dr Ste 101
Pitts & Associates, Incorporated
Birmingham, AL 35209-2055
Mailing address
133 Gillon Dr
Homewood, AL 35209-6507
Phone (205) 945-1129
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51070830 | Other | AL | TRICARE |
| 00563083211501 | Other | AL | CIGNA |
| 3390 | Medicaid | AL | |
| 00051506336WEN | Other | AL | BCBS |
| 61-90258 | Other | AL | UNITED BEHAVIORAL HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 255 | AL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pitts Mental Health Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Birmingham, AL
- NPI 1851301931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609943133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 GILLON DR",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352096507",
"telephone_number": "205-945-1129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 ROGERS DR STE 101",
"address_2": "PITTS & ASSOCIATES, INCORPORATED",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352092055",
"telephone_number": "205-870-3520",
"fax_number": "205-870-3522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDORF",
"first_name": "DONALD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "255",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "51070830",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "00563083211501",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3390",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00051506336WEN",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "61-90258",
"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 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.