Organization Active NPI

Uniquely Different, LLC

  • Community/Behavioral Health Agency
  • Northport, AL
National Provider Identifier
1841698305
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UNIQUELY DIFFERENT, LLC
Practice address
1002 McFarland Blvd Ste G
Northport, AL 35476-3350
Phone
(205) 492-9671
NPI assigned
Dec 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Mrs. Samantha Baer, BCBA
Title
Co-Owner
Phone
(205) 492-9671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1002 McFarland Blvd Ste G
Northport, AL 35476-3350

Mailing address

5023 Carroll St
Northport, AL 35475-4488
Phone (205) 492-9671

Other identifiers 1

IdentifierTypeStateIssuer
1134362577OtherALTRICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1841698305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 CARROLL ST",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354754488",
            "telephone_number": "205-492-9671",
            "fax_number": "205-210-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 MCFARLAND BLVD STE G",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763350",
            "telephone_number": "205-492-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUELY DIFFERENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "BAER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "205-492-9671",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1134362577",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.