Park Place Psychiatry, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0421 Issued in AL

Legal business name

PARK PLACE PSYCHIATRY, LLC

Practice address

207 Winton M. Blount Loop
Montgomery, AL 36117

Phone

(334) 356-1417

Fax

(334) 356-1433

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David D. Schafter, D.O., PH.D.

Title

Owner

Phone

(334) 356-1417

Specialties & licenses 4

Addresses

Other identifiers 1

Practitioners 1

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

• Glenda Phillips Reynolds, ED. D.

  • Professional Counselor
  • Montgomery, AL
  • NPI 1982936035
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1629108261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 241486",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361241486",
            "telephone_number": "334-356-1417",
            "fax_number": "334-356-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WINTON M. BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-356-1417",
            "fax_number": "334-356-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "SCHAFTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-356-1417",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O., PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "2914",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1452",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2914",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "D0421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529906980",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela L Strickland MD PC
• Melody S Pan, OTR/L
• Justin Alexander Parden, M.D.
• Kimberlyn Latrice Parham, MS, LPC
• Jennifer Christine Parish, RN
• Junmin Park
• Paul Park
• Elana Parker Merriweather, ED.S., LPC, NCC, DCD
• Tatiana Parker-Evans, LPC
• Henry Edward Parker Jr., LPC

• Psychiatry Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.