Individual provider Active NPI

James Brian Lindsey, PSY.D

  • Clinical Psychologist
  • Muscle Shoals, AL
National Provider Identifier
1689774879
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1315 Issued in AL
Practice address
2410 Avalon Ave
Muscle Shoals, AL 35661-3283
Phone
(256) 386-0808
Fax
(256) 389-8904
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1315 AL Primary

Addresses

Primary practice location

2410 Avalon Ave
Muscle Shoals, AL 35661-3283

Mailing address

2410 Avalon Ave
Muscle Shoals, AL 35661-3283
Phone (256) 386-0808

Other identifiers 2

IdentifierTypeStateIssuer
890012660MedicaidAL
Q33489OtherALUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050203000674 AL Practitioner - Clinical Psychologist 1456245968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avalon Medical GroupGroup PAC ID 3678566189, 22 clinicians

Practice addresses (Care Compare)

2410 Avalon Ave
Muscle Shoals, AL 35661-3283
Phone (256) 386-0808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1315ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Avalon Medical Group CurrentSince Jan 4, 2021 Accepting new patients
Avalon Medical Group Clinical CurrentSince Mar 17, 2024 Accepting new patients

Locations

2410 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-0808

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1689774879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 AVALON AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613283",
            "telephone_number": "256-386-0808",
            "fax_number": "256-389-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 AVALON AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613283",
            "telephone_number": "256-386-0808",
            "fax_number": "256-389-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "JAMES",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890012660",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "Q33489",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscle Shoals, AL

Sources for this page

Verify at the official NPI Registry.