Active NPI
Peggy Brown Thornton, PH.D.
- Psychologist
- Opelika, AL
National Provider Identifier
1639226400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 648
- Practice address
- 2127 Executive Park Dr
Opelika, AL 36801-6041 - Phone
- (334) 742-9555
- Fax
- (334) 742-0668
- NPI assigned
- Jan 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 648 | AL | Primary |
Addresses
Primary practice location
2127 Executive Park Dr
Opelika, AL 36801-6041
Mailing address
2127 Executive Park Dr
Opelika, AL 36801-6041
Phone (334) 742-9555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74333 | Other | AL | BCBS PIN |
| 73822 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 648 | AL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peggy Thornton, PH.D., LLC | Current | Accepting new patients | |
| Behavioral Medicine LLC | Past | Accepting new patients | |
| SVPS Psychiatric Services LLC | Past | Accepting new patients | |
| Analytic Options PC | Past | Accepting new patients |
Locations
3 Office Park Cir
Ste 310
Mountain Brk, AL 35223
Phone (205) 206-9767
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- Mountain BRK, AL
- NPI 1093387086
-
- Psychiatry Physician
- Montgomery, AL
- NPI 1902173222
-
- Mental Health Counselor
- Montgomery, AL
- NPI 1326423781
-
- Psychiatry Physician
- Birmingham, AL
- NPI 1447528591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639226400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2127 EXECUTIVE PARK DR",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368016041",
"telephone_number": "334-742-9555",
"fax_number": "334-742-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2127 EXECUTIVE PARK DR",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368016041",
"telephone_number": "334-742-9555",
"fax_number": "334-742-0668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "PEGGY",
"middle_name": "BROWN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AL",
"license": "648",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "74333",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "73822",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Opelika, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.