NPIMap

Organization Active NPI

Interact Psychological Services

  • Clinical Child & Adolescent Psychologist
  • Mountain BRK, AL
National Provider Identifier
1760840490
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
1147 Issued in AL
Legal business name
INTERACT PSYCHOLOGICAL SERVICES
Practice address
15 Office Park Cir
Suite 140
Mountain BRK, AL 35223-2524
Phone
(205) 523-8219
Fax
(205) 523-8219
NPI assigned
Feb 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Sandra C Redden, PH.D.
Title
Owner/ Psychologist
Phone
(205) 523-8219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X 1147 AL Primary

Addresses

Primary practice location

15 Office Park Cir
Suite 140
Mountain BRK, AL 35223-2524

Mailing address

15 Office Park Cir
Suite 140
Mountain BRK, AL 35223-2524
Phone (205) 523-8219

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1760840490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OFFICE PARK CIR",
            "address_2": "SUITE 140",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232524",
            "telephone_number": "205-523-8219",
            "fax_number": "205-523-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OFFICE PARK CIR",
            "address_2": "SUITE 140",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232524",
            "telephone_number": "205-523-8219",
            "fax_number": "205-523-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACT PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "REDDEN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/ PSYCHOLOGIST",
        "authorized_official_telephone_number": "205-523-8219",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AL",
            "license": "1147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.