Individual provider Active NPI

David Lowell Niemeier, PH.D.

  • Clinical Psychologist
  • Vestavia, AL
National Provider Identifier
1689892291
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2116 Issued in AL
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

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2116ALMDClinical Psychologist
4612890MIMDClinical Psychologist
4479NCMDChiropractor

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

Verify at the official NPI Registry.