NPIMap

Organization Active NPI

University of Alabama at Birmingham

Doing business as Psychiatric Services Step Down Unit at UAB Hospital

  • Psychiatry Physician
  • Birmingham, AL
National Provider Identifier
1811280654
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Doing business as
Psychiatric Services Step Down Unit at UAB Hospital
Practice address
619 19TH St S
CPMC 409, Attn: Barbara Harris
Birmingham, AL 35249-0018
Phone
(205) 602-5256
NPI assigned
May 26, 2011
Last updated
May 26, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
UNVIERSITY OF ALABAMA AT BIRMINGHAMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Dr. Micheal Rooney Waldrum
Title
Chief Operating Official
Phone
(205) 934-7087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

619 19TH St S
CPMC 409, Attn: Barbara Harris
Birmingham, AL 35249-0018

Mailing address

619 19TH St S
CPMC 409, Attn: Barbara Harris
Birmingham, AL 35249-0018
Phone (205) 602-5256

Other names 1

  • Psychiatric Services Step Down Unit at UAB Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110623000518 AL Part B Supplier - Clinic/Group Practice 3779487970 Receives reassigned benefits from 17 practitioners
Practice locations: Birmingham, AL

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Jennifer Yeager Ms48 organizations share this tax ID, including this one
Part of
Jennifer Yeager Ms

Other organizations with this tax ID 47

Organizations that report the same tax identification number in the National Provider Directory.

View all 47

Locations

619 19th St S
#409
Birmingham, AL 35249
Phone (205) 602-5256

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1811280654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "address_2": "CPMC 409, ATTN: BARBARA HARRIS",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352490018",
            "telephone_number": "205-602-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "address_2": "CPMC 409, ATTN: BARBARA HARRIS",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352490018",
            "telephone_number": "205-602-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ALABAMA AT BIRMINGHAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNVIERSITY OF ALABAMA AT BIRMINGHAM",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "WALDRUM",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "ROONEY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICIAL",
        "authorized_official_telephone_number": "205-934-7087",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychiatric Services Step Down Unit at UAB Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.

Verify at the official NPI Registry.