Active NPI
Roger Paul Plamondon, PH.D.
- School Psychologist
- Jasper, AL
National Provider Identifier
1740217181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1177
- Practice address
- 1454 Jones Dairy Rd
Jasper, AL 35501-6164 - Phone
- (205) 221-7384
- Fax
- (205) 221-7385
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1177 | AL | Primary |
Addresses
Primary practice location
1454 Jones Dairy Rd
Jasper, AL 35501-6164
Mailing address
700 19TH St S
Birmingham, AL 35233-1927
Phone (205) 933-8101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1177 | AL | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burge Psychological Services | Past | Accepting new patients | |
| The Children'S Hospital of Alabama | Past | Accepting new patients | |
| Veterans Admistration | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hoover, AL
- NPI 1225650609
-
- Psychologist
- Birmingham, AL
- NPI 1114025103
-
- Primary Care Clinic/Center
- Jasper, AL
- NPI 1356708465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1740217181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 19TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331927",
"telephone_number": "205-933-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1454 JONES DAIRY RD",
"city": "JASPER",
"state": "AL",
"postal_code": "355016164",
"telephone_number": "205-221-7384",
"fax_number": "205-221-7385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLAMONDON",
"first_name": "ROGER",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AL",
"license": "1177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.