Active NPI
Northwest Alabama Psychiatric Services
- Psychiatry Physician
- Jasper, AL
National Provider Identifier
1801962964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 16128
- Legal business name
- NORTHWEST ALABAMA PSYCHIATRIC SERVICES
- Practice address
- 20 Medical Center Dr Ste 300
Jasper, AL 35501-3428 - Phone
- (205) 384-0141
- Fax
- (205) 384-0171
- NPI assigned
- Nov 28, 2006
- Last updated
- Oct 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terry Wayne Bentley, MD
- Title
- President/Owner
- Phone
- (205) 384-0141
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 16128 | AL | Primary |
Addresses
Primary practice location
20 Medical Center Dr Ste 300
Jasper, AL 35501-3428
Mailing address
20 Medical Center Dr Ste 300
Jasper, AL 35501-3428
Phone (205) 384-0141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- NW Alabama Psychiatric
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Nwaps-TMS
- Behavioral Neurology & Neuropsychiatry Physician
- Jasper, AL
- NPI 1306448394
Locations
20 Medical Center Dr
Ste 300
Jasper, AL 35501
Phone (205) 221-1114
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Psychiatry Physician
- Jasper, AL
- NPI 1508933003
-
- Clinical Psychologist
- Jasper, AL
- NPI 1093898553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603670400000",
"number": "1801962964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MEDICAL CENTER DR STE 300",
"city": "JASPER",
"state": "AL",
"postal_code": "355013428",
"telephone_number": "205-384-0141",
"fax_number": "205-384-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MEDICAL CENTER DR STE 300",
"city": "JASPER",
"state": "AL",
"postal_code": "355013428",
"telephone_number": "205-384-0141",
"fax_number": "205-384-0171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST ALABAMA PSYCHIATRIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A",
"authorized_official_last_name": "BENTLEY",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "205-384-0141",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "16128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jasper, AL
- Northwest Alabama Mental Health Center
- Northwest Alabama Mental Health Center
- Northwest Alabama Mental Health Center
- Northwest Alabama Mental Health Center
- Northwest Alabama Psychiatric Services (Nwaps-TMS)
- Heather Madison Nunnelley, NP
- Marcus Wade O'Mary, DC
- OB GYN Specialists of Alabama, P.C.
- John Scot Odle, D.P.M.
- Amanda Jo Odom, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.