Cullman Area Mental Health Authority, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CULLMAN AREA MENTAL HEALTH AUTHORITY, INC

Doing business as

Mental Healthcare of Cullman

Practice address

1909 Commerce Ave
Cullman, AL 35055-6151

Phone

(256) 734-4688

Fax

(256) 736-5638

NPI assigned

Sep 6, 2006

Last updated

Aug 13, 2013By 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

Chris Vandyke, MA

Title

Executive Director

Phone

(256) 734-4688

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Mental Healthcare of Cullman Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Cullman Allkids Plus

  dba Mental Healthcare of Cullman

  • Community/Behavioral Health Agency
  • Cullman, AL
  • NPI 1851566327
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gloria P Lott, LCSW

  • Clinical Social Worker
  • Cullman, AL
  • NPI 1205000759
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1700989589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2186",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350562186",
            "telephone_number": "256-734-4688",
            "fax_number": "256-736-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 COMMERCE AVE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350556151",
            "telephone_number": "256-734-4688",
            "fax_number": "256-736-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLMAN AREA MENTAL HEALTH AUTHORITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "VANDYKE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-734-4688",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330034025",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL KIDS",
            "identifier": "51008814",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD SEIB",
            "identifier": "051008814",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO CONTRACT",
            "identifier": "08814",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590000025",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590034025",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529923460",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PEEHIP",
            "identifier": "051008814",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330000025",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Healthcare of Cullman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Lee Crowder, MD
• Candice Jean Crownover
• Britney Cryer, CRNP
• Cullman Allkids Plus (Mental Healthcare of Cullman)
• Cullman Anesthesiology & Pain Consultants PC
• Cullman City
• Cullman County
• Cullman County Center for the Developmentally Disabled, Inc.
• Cullman County Health Dept Adult Immun
• Cullman County Health Dept AIDS

• Community/Behavioral Health Agency in Cullman, AL
• Providers in Cullman, AL by specialty
• Community/Behavioral Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.