Child & Adolescent Psychological Services of Inverness, PC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

1077 Issued in AL

Legal business name

CHILD & ADOLESCENT PSYCHOLOGICAL SERVICES OF INVERNESS, PC

Practice address

4898 Valleydale Rd
Suite A1
Birmingham, AL 35242-4654

Phone

(205) 981-1330

Fax

(205) 981-1390

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael David Fetter, PH.D.

Title

Owner/President

Phone

(205) 981-1330

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1639287857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4898 VALLEYDALE RD",
            "address_2": "SUITE A1",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424654",
            "telephone_number": "205-981-1330",
            "fax_number": "205-981-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4898 VALLEYDALE RD",
            "address_2": "SUITE A1",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424654",
            "telephone_number": "205-981-1330",
            "fax_number": "205-981-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD & ADOLESCENT PSYCHOLOGICAL SERVICES OF INVERNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "FETTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "205-981-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AL",
            "license": "1077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas CHI, MD
• Yung Hsien Chiang, MD
• Randall Chiappetti, CRNA
• Alija Zianese Chick
• Child & Adolescent Associates P.C.
• Child Adolescent Partners LLC
• Child'Splay Therapy Center
• Lesleigh Jean Childers-Murphy, RBT
• Andrew Childers, LPC
• Noel Karl Childers, DDS

• Clinical Child & Adolescent Psychologist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Clinical Child & Adolescent Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.