NPIMap

Organization Active NPI

Joanna T. Koulianos, PH. D., Inc

  • Psychologist
  • Mobile, AL
National Provider Identifier
1649609751
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1453 Issued in AL
Legal business name
JOANNA T. KOULIANOS, PH. D., INC
Practice address
22 N Florida St
Mobile, AL 36607-3108
Phone
(251) 300-2743
NPI assigned
Nov 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Joanna T Koulianos, PH D
Title
Psychologist
Phone
(251) 300-2743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1453 AL Primary

Addresses

Primary practice location

22 N Florida St
Mobile, AL 36607-3108

Mailing address

22 N Florida St
Mobile, AL 36607-3108
Phone (251) 300-2743

National Provider Directory

National Provider Directory

Locations

22 N Florida St
Mobile, AL 36607
Phone (251) 300-2743

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1649609751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N FLORIDA ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073108",
            "telephone_number": "251-300-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N FLORIDA ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073108",
            "telephone_number": "251-300-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNA T. KOULIANOS, PH. D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "KOULIANOS",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "251-300-2743",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AL",
            "license": "1453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.