Matthew Remick Psychology, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1078 Issued in AL

Legal business name

MATTHEW REMICK PSYCHOLOGY, LLC

Practice address

15 Office Park Cir Ste 140
Mountain BRK, AL 35223-2562

Phone

(205) 438-7711

Fax

(205) 438-7711

NPI assigned

Feb 9, 2016

Organization subpart

No

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

Authorized official

Name

Matthew Lee Remick, PSY.D.NPI 1841393071

Title

Owner

Phone

(205) 223-4353

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

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

• Matthew Lee Remick, PSY.D.

  • Clinical Psychologist
  • Birmingham, AL
  • NPI 1841393071
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1679931398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OFFICE PARK CIR STE 140",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232562",
            "telephone_number": "205-438-7711",
            "fax_number": "205-438-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OFFICE PARK CIR STE 140",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232562",
            "telephone_number": "205-438-7711",
            "fax_number": "205-438-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW REMICK PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "REMICK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-223-4353",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111524",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Tate Wade Counseling LLC
• Mashburn Psychological Services
• Bailey Mason, CCC-SLP
• Stephen E. Mason, M.D.
• Carol Mastroianni, DPT
• Annette Sherman Mattingly, ALC
• John T McDanal, M.ED., ALC, NCC
• Whitney Knox McDaniel, LPC
• John Joseph McKamey, MMP
• Haley Elizabeth McKee, BSN, RN, CCRN

• Clinical Psychologist in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Clinical Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.