NPIMap

Organization Active NPI

Montgomery Area Mental Health Authority Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Montgomery, AL
National Provider Identifier
1710012398
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MONTGOMERY AREA MENTAL HEALTH AUTHORITY INC
Practice address
2140 Upper Wetumpka Rd
Montgomery, AL 36107-1342
Phone
(334) 279-7830
Fax
(334) 277-8862
NPI assigned
Feb 22, 2007
Last updated
Mar 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Donna C LeslieNPI 1801280045
Title
Executive Director
Phone
(334) 279-7830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X AL Primary

Addresses

Primary practice location

2140 Upper Wetumpka Rd
Montgomery, AL 36107-1342

Mailing address

PO Box 3223
Montgomery, AL 36109-0223
Phone (334) 279-7830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160302001632 AL Part B Supplier - Clinic/Group Practice 8527010917 Receives reassigned benefits from 23 practitioners
Practice locations: Montgomery, AL; Wetumpka, AL; Prattville, AL; Hayneville, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2109395Montgomery Area Mental Health Authority2140 Upper Wetumpka Rd, Montgomery, AL 36107Certificate of waiverFeb 23, 2028
01D2211354Montgomery Area Mental Health Authority, Inc2140 Upper Wetumpka, Montgomery, AL 36107Certificate of waiverJan 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Montg Area Mental Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5 Academy Ln
Hayneville, AL 36040
Phone (334) 546-2578

111 Coliseum Blvd
Montgomery, AL 36109

2140 Upper Wetumpka Rd
Montgomery, AL 36107
Phone (334) 262-0363

3948 Beth Manor Dr
Montgomery, AL 36109

5915 Carmichael Rd
Montgomery, AL 36117
Phone (334) 245-8736

8721 US Highway 231
Wetumpka, AL 36092
Phone (334) 567-8408

Practitioners & affiliated clinicians

Practitioners 54

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.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1710012398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3223",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361090223",
            "telephone_number": "334-279-7830",
            "fax_number": "334-277-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 UPPER WETUMPKA RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361071342",
            "telephone_number": "334-279-7830",
            "fax_number": "334-277-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY AREA MENTAL HEALTH AUTHORITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-279-7830"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.