NPIMap

Organization Active NPI

Behavioral Pediatric Institute of Alabama

  • Clinical Child & Adolescent Psychologist
  • Mountain BRK, AL
National Provider Identifier
1639426729
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
1404 Issued in AL
Legal business name
BEHAVIORAL PEDIATRIC INSTITUTE OF ALABAMA
Practice address
4 Office Park Cir Ste 215a
Mountain BRK, AL 35223-2533
Phone
(205) 414-6686
NPI assigned
Aug 8, 2012
Last updated
Aug 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Stephanie Bethke Stoll, PH.D.NPI 1922299890
Title
Clinical Psychologist
Phone
(205) 414-6686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 1715 AL
Clinical Child & Adolescent Psychologist 103TC2200X 1404 AL Primary
Behavior Analyst 103K00000X 11211750 AL
Behavior Analyst 103K00000X 1106821 AL

Addresses

Primary practice location

4 Office Park Cir Ste 215a
Mountain BRK, AL 35223-2533

Mailing address

4 Office Park Cir Ste 215a
Mountain BRK, AL 35223-2533
Phone (205) 414-6686

National Provider Directory

National Provider Directory

Locations

4 Office Park Cir
Ste 215A
Mountain Brk, AL 35223
Phone (205) 414-6686

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1639426729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OFFICE PARK CIR STE 215A",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232533",
            "telephone_number": "205-414-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OFFICE PARK CIR STE 215A",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232533",
            "telephone_number": "205-414-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL PEDIATRIC INSTITUTE OF ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "STOLL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "BETHKE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "205-414-6686",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AL",
            "license": "1715",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AL",
            "license": "1404",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "11211750",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "1106821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.