Active NPI
John M. Duffey
- Adult Mental Health Clinic/Center
- Phenix City, AL
National Provider Identifier
1639775711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- JOHN M. DUFFEY
- Practice address
- 5009 Riverchase Dr Ste 100a
Phenix City, AL 36867-7497 - Phone
- (334) 540-4401
- Fax
- (334) 408-2100
- NPI assigned
- Dec 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Michael Duffey I, MACC
- Title
- Executive Director
- Phone
- (334) 408-4689
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Research Clinic/Center | 261QR1100X |
Addresses
Primary practice location
5009 Riverchase Dr Ste 100a
Phenix City, AL 36867-7497
Mailing address
5009 Riverchase Dr Ste 100a
Phenix City, AL 36867-7497
Phone (334) 540-4401
Other names 1
- Alabama Institute for Behavioral Health & Research
National Provider Directory
National Provider DirectoryLocations
1211 7th Ave
Ste A
Phenix City, AL 36867
5009 Riverchase Dr
Ste 100A
Phenix City, AL 36867
Phone (334) 408-4689
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Phenix City, AL
- NPI 1033664784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692057600000",
"number": "1639775711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5009 RIVERCHASE DR STE 100A",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368677497",
"telephone_number": "334-540-4401",
"fax_number": "334-408-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5009 RIVERCHASE DR STE 100A",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368677497",
"telephone_number": "334-540-4401",
"fax_number": "334-408-2100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN M. DUFFEY",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-05",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A",
"authorized_official_last_name": "DUFFEY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "334-408-4689",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "I",
"authorized_official_credential": "MACC"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Alabama Institute for Behavioral Health & Research",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phenix City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.