Dekalb County Mr Board

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

DEKALB COUNTY MR BOARD

Practice address

117 First St NW
Fort Payne, AL 35967

Phone

(256) 845-1097

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Amanda Wicks

Title

Executive Director

Phone

(205) 845-1097

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1720112014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 FIRST ST NW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35967",
            "telephone_number": "256-845-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 FIRST ST NW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35967",
            "telephone_number": "256-845-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB COUNTY MR BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WICKS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-845-1097"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dekalb County Health Dept Prev Health Ed
• Dekalb County Health Dept Pri Care
• Dekalb County Health Dept STD
• Dekalb County Health Dept VFC Immun
• Dekalb County Hospital Association
• Dekalb Emergency Group LLC
• Dekalb Foot Clinic
• Dekalb Primary Care
• Dekalb Radiologist Group, LLC
• Dekalb Radiology

• All providers in Fort Payne, AL
• Developmentally Disabled Services Day Training Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.