Active NPI
David Lowell Niemeier, PH.D.
- Clinical Psychologist
- Vestavia, AL
National Provider Identifier
1689892291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2116
- Practice address
- 400 Vestavia Pkwy Ste 130
Vestavia, AL 35216-3750 - Phone
- (205) 823-2373
- Fax
- (205) 823-2378
- NPI assigned
- Apr 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4612890 | MI | |
| Clinical Psychologist | 103TC0700X | 0810001021 | VA | |
| Clinical Psychologist | 103TC0700X | 4479 | NC | |
| Clinical Psychologist | 103TC0700X | 2116 | AL | Primary |
Addresses
Primary practice location
400 Vestavia Pkwy Ste 130
Vestavia, AL 35216-3750
Mailing address
400 Vestavia Pkwy Ste 130
Vestavia, AL 35216-3750
Phone (205) 823-2373
Other practice location 1
2407 Plantation Center Dr
Ste 103
Matthews, NC 28105-6614
Phone (704) 246-8389
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190829001594 | AL | Practitioner - Clinical Psychologist | 6608958764 | Practice locations: Vestavia, AL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
400 Vestavia Pkwy
Suite 130
Vestavia, AL 35216-3750
Phone (205) 823-2373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2116 | AL | MD | Clinical Psychologist |
| 4612890 | MI | MD | Clinical Psychologist |
| 4479 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1689892291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 VESTAVIA PKWY STE 130",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352163750",
"telephone_number": "205-823-2373",
"fax_number": "205-823-2378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 VESTAVIA PKWY STE 130",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352163750",
"telephone_number": "205-823-2373",
"fax_number": "205-823-2378"
}
],
"practiceLocations": [
{
"address_1": "2407 PLANTATION CENTER DR",
"address_2": "STE 103",
"address_purpose": "LOCATION",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281056614",
"country_code": "US",
"telephone_number": "704-246-8389",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIEMEIER",
"first_name": "DAVID",
"middle_name": "LOWELL",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-22",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "4612890",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810001021",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "4479",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "2116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vestavia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.