Brian Thomas Upton, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2052 Issued in AL

Practice address

6341 Piccadilly Square Dr
Mobile, AL 36609-5103

Phone

(251) 343-5300

NPI assigned

Sep 24, 2017

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)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Ford Psychiatry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mobile, AL
  • NPI 1790177350

  Single Specialty

  NPD (past)
• Laura G Goulden PHD LLC

  • Clinical Psychologist
  • Mobile, AL
  • NPI 1194486639
  NPD (past)
• Ogden and Epker, LLC

  • Clinical Psychologist
  • Mobile, AL
  • NPI 1205040045
  NPD (past)
• Winds of Change Psychological Services of Mobile

  • Clinical Psychologist
  • Mobile, AL
  • NPI 1912236779
  NPD (past)

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

{
    "created_epoch": "1506211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506211200000",
    "number": "1629587514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 BELLE CHENE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366934511",
            "telephone_number": "251-490-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6341 PICCADILLY SQUARE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095103",
            "telephone_number": "251-343-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPTON",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-24",
        "last_updated": "2017-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "2052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of South Alabama Psychology Clinic
• University of South Alabama, Dept of Radiology
• University South Alabama Children'S and Women'S Hospital
• Upperline Healthcare, PC
• Trinity Upshaw
• Uptown Urgent Care, LLC
• Urogynecology of Southern Alabama
• Urology and Oncology Specialists P.C.
• Urology Associates of Mobile
• Urology Associates of Mobile, P.a.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2017; 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.