Clinic for Women, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CLINIC FOR WOMEN, P.A.

Practice address

8337 Highway 72 W
Suite 201
Madison, AL 35758-9573

Phone

(256) 533-7420

Fax

(256) 464-0789

NPI assigned

Aug 19, 2008

Last updated

Jun 19, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

CLINIC FOR WOMEN, P.A.As reported in NPPES

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

Authorized official

Name

Ms. Audrey West

Title

Practice Administrator

Phone

(256) 533-7420

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Clinic for Women PA

  • Specialist
  • Madison, AL
  • NPI 1629225172

  O20040305000067

  Same enrollment
• Clinic for Women PA

  • Specialist
  • Huntsville, AL
  • NPI 1962659508

  O20040305000067

  Same enrollment
• Clinic for Women, P.a.

  • Specialist
  • Huntsville, AL
  • NPI 1811953912

  O20040305000067

  Same enrollment

Part of

Clinic for Women PA

Locations

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1831346121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 ADAMS ST SE",
            "address_2": "SUITE 300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013730",
            "telephone_number": "256-533-7420",
            "fax_number": "256-536-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8337 HIGHWAY 72 W",
            "address_2": "SUITE 201",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589573",
            "telephone_number": "256-533-7420",
            "fax_number": "256-464-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC FOR WOMEN, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINIC FOR WOMEN, P.A.",
        "enumeration_date": "2008-08-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "256-533-7420",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "12230",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "22645",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "22684",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "78546",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "22683",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "26774",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elise Rebecca Clem, MD
• Richard T. Clem, PT
• Cleveland Behavioral Therapy LLC (The Balanced Life LLC)
• Jessica D Cleveland, M.S., LPC, NCC
• Clinic for Women PA
• Charles D. Coffey, M.D.
• Amelia M Cohen, LPC
• Melanie Cole, LPC, NCC, ED D
• Christopher Coleman, RBT
• Jessica Renee Coleman, PTA

• Specialist in Madison, AL
• Providers in Madison, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.