Mental Health BD of Bibb Pickens and Tuscaloosa Counties

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

Doing business as

Indian Rivers Mental Health Center

Practice address

2209 9TH St
Bibb Office
Tuscaloosa, AL 35401-2300

Phone

(205) 926-4681

Fax

(205) 391-3137

NPI assigned

Nov 13, 2006

Last updated

Jan 23, 2012By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 3

Other names 1

• Indian Rivers Mental Health Center Doing business as

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Care Connect of Alabama, Inc.

  • Psychiatry Physician
  • Northport, AL
  • NPI 1093815987

  Member Of

  NPD member

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1699846329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2190",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35403",
            "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",
            "address_2": "BIBB OFFICE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012300",
            "telephone_number": "205-926-4681",
            "fax_number": "205-391-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH BD OF BIBB PICKENS AND TUSCALOOSA COUNTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "590000000",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51008111",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590000024",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian Rivers Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grayson William Menard, M.D.
• John William Menard, M.D.
• Menard, Plastic Surgery LLC
• Amanda McKelvey Mennen, M.S. CCC-SLP
• Mental Health BD of Bibb Pickens and Tuscaloosa Counties (Indian Rivers MHC)
• Mental Health Board of Bibb Pickens & Tuscaloosa Counties, Inc.
• Mental Health Board of Bibb Pickens and Tuscaloosa Counties (Indian Rivers CMHC)
• Mental Health Connections, Inc
• Charles John Mentel III, M.D.
• Mentorup Life Lab & Clinic

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alabama

• 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.