Chebon Alex Myron Porter, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1089 Issued in AL

Practice address

Department of Veterans Affairs Medical Center
700 South 19TH Street
Birmingham, AL 35233

Phone

(205) 933-8101

Fax

(205) 558-7060

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619063948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
            "address_2": "700 SOUTH 19TH STREET",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35233",
            "telephone_number": "205-933-8101",
            "fax_number": "205-558-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
            "address_2": "700 SOUTH 19TH STREET",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35233",
            "telephone_number": "205-933-8101",
            "fax_number": "205-558-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CHEBON",
        "middle_name": "ALEX MYRON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Todd Pope, CHWC
• Prateek Avinash Pophali, MD
• Jennifer Poplawski, APRN
• Christopher Popwell
• Ann Kelly Porter, MD
• Gracelyn Porter, RBT
• Paul Anthony Porter, CRNP
• Wilanda E Porter, CO
• Mallory Paige Portz
• Ivana Ellis Posey

• Clinical Psychologist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Clinical Psychologist in Alabama

• 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.