NPIMap

Organization Active NPI

Mental Health BD of Bibb Pickens and Tuscaloosa Counties

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tuscaloosa, AL
National Provider Identifier
1659313393
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MENTAL HEALTH BD OF BIBB PICKENS AND TUSCALOOSA COUNTIES
Practice address
2209 9TH St
Tuscaloosa, AL 35401-2300
Phone
(205) 391-3131
Fax
(205) 391-3137
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Mr. Blake Thrasher
Title
Cfo
Phone
(205) 391-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X AL Primary

Addresses

Primary practice location

2209 9TH St
Tuscaloosa, AL 35401-2300

Mailing address

PO Box 2190
2209 9TH Street
Tuscaloosa, AL 35403-2190
Phone (205) 391-3131

Other identifiers 5

IdentifierTypeStateIssuer
330000024MedicaidAL
330034024MedicaidAL
528700510MedicaidAL
590000024MedicaidAL
51008111OtherALBCBS OF AL

Other names 1

  • Indian Rivers MHC Doing business as

National Provider Directory

National Provider Directory

Locations

890 Reform St
Carrollton, AL 35447
Phone (205) 367-8031

1401 Greensboro Ave
Tuscaloosa, AL 35401
Phone (205) 391-3131

3532 23rd St
Tuscaloosa, AL 35401
Phone (205) 391-0132

3701 Loop Rd
#39
Tuscaloosa, AL 35404
Phone (205) 562-3700

1915 6th St
Tuscaloosa, AL 35401
Phone (205) 345-1600

3500 Skyland Blvd E
Tuscaloosa, AL 35405
Phone (205) 391-3131

Practitioners & affiliated clinicians

Practitioners 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1659313393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2190",
            "address_2": "2209 9TH STREET",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354032190",
            "telephone_number": "205-391-3131",
            "fax_number": "205-391-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 9TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012300",
            "telephone_number": "205-391-3131",
            "fax_number": "205-391-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH BD OF BIBB PICKENS AND TUSCALOOSA COUNTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "THRASHER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-391-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330000024",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330034024",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528700510",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590000024",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51008111",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian Rivers MHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.