Active NPI
Matthew Lee Remick, PSY.D.
- Clinical Psychologist
- Birmingham, AL
National Provider Identifier
1841393071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1078
- Practice address
- 4778 Overton Rd
Birmingham, AL 35210-3803 - Phone
- (205) 957-0294
- Fax
- (205) 957-0298
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1078 | AL | Primary |
Addresses
Primary practice location
4778 Overton Rd
Birmingham, AL 35210-3803
Mailing address
4778 Overton Rd
Birmingham, AL 35210-3803
Phone (205) 957-0294
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-28791 | Other | AL | BCBS OF AL PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3840 Ridgeway Dr
Homewood, AL 35209-5506
Phone (205) 438-7711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1078 | AL | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew Remick Psychology, LLC | Clinical | Current | Accepting new patients |
| SVPS Psychiatric Services LLC | Past | Accepting new patients | |
| Mitchell'S Place, Inc. | Clinical | Past | Accepting new patients |
| Grayson and Associates PC | Clinical | Past | Accepting new patients |
Locations
3840 Ridgeway Dr
Homewood, AL 35209
Phone (205) 206-9860
15 Office Park Cir
Ste 140
Mountain Brk, AL 35223
Phone (205) 208-9628
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Mountain BRK, AL
- NPI 1679931398
-
- Psychiatry Physician
- Birmingham, AL
- NPI 1447528591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1841393071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4778 OVERTON RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352103803",
"telephone_number": "205-957-0294",
"fax_number": "205-957-0298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4778 OVERTON RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352103803",
"telephone_number": "205-957-0294",
"fax_number": "205-957-0298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMICK",
"first_name": "MATTHEW",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "1078",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL PROVIDER #",
"identifier": "515-28791",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
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- Heather Michelle Relyea Ashley, M.D.
- Tylah Remaley, MS, LAT, ATC
- Stephanie Remington, BCBA, LBA
- Keith Stanton Remke Jr., ATC
- Guang Ren, PHD, RD, LD
- Renal Treatment Centers- Southeast, LP
- Renal Treatment Centers-Southeast, LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.