Huntsville Neuropsychiatric Services, LLC

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

License

24823 Issued in AL

Legal business name

HUNTSVILLE NEUROPSYCHIATRIC SERVICES, LLC

Practice address

2303 Old Wagon Rd SE
Huntsville, AL 35801-1369

Phone

(256) 604-0434

Fax

(256) 964-6725

NPI assigned

Jun 15, 2012

Organization subpart

No

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

Authorized official

Name

Gagandeep Dhaliwal, MDNPI 1265407944

Title

Member

Phone

(256) 604-0434

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gagandeep Singh Dhaliwal, MD

  • Psychiatry Physician
  • Huntsville, AL
  • NPI 1265407944
  Medicare reassignment NPD Authorized official
• Brittany Ellen Kesten, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Moses Lake, WA
  • NPI 1942776695

  AL

  Medicare reassignment NPD

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1619239597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 OLD WAGON RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358011369",
            "telephone_number": "256-604-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 OLD WAGON RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358011369",
            "telephone_number": "256-604-0434",
            "fax_number": "256-964-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE NEUROPSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "DHALIWAL",
        "authorized_official_first_name": "GAGANDEEP",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "256-604-0434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "AL",
            "license": "24823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huntsville Madison County Mental Health Board, Inc.
• Huntsville Metro Treatment Center
• Huntsville Nephrology Associates
• Huntsville Neurology
• Huntsville Neurology Center
• Huntsville Nutrition Collective LLC
• Huntsville OB/GYN, Associates, P.a.
• Huntsville Oral and Maxillofacial Surgery Associates, PC
• Huntsville Pain Management, Inc.
• Huntsville Pediatric Associates, LLC

• Behavioral Neurology & Neuropsychiatry Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.