Organization Active NPI

Capstone Medical Solutions

  • Psychologist
  • Pelham, AL
National Provider Identifier
1750707253
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1228 Issued in AL
Legal business name
CAPSTONE MEDICAL SOLUTIONS
Practice address
1973 Chandalar Dr
Suite a
Pelham, AL 35124-4359
Phone
(205) 503-1643
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Dr. Sharon Dianne Waltz, PSY. D.
Title
Clinical Psychologist
Phone
(205) 503-1643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1228 AL Primary

Addresses

Primary practice location

1973 Chandalar Dr
Suite a
Pelham, AL 35124-4359

Mailing address

1973 Chandalar Dr
Suite C
Pelham, AL 35124-4359
Phone (205) 503-1643

National Provider Directory

National Provider Directory

Locations

1973 Chandalar Dr
Ste A
Pelham, AL 35124
Phone (205) 503-1643

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1750707253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1973 CHANDALAR DR",
            "address_2": "SUITE C",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244359",
            "telephone_number": "205-503-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 CHANDALAR DR",
            "address_2": "SUITE A",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244359",
            "telephone_number": "205-503-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE MEDICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "WALTZ",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "205-503-1643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AL",
            "license": "1228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.