Madison Behavioral Diagnostic and Treatment Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

22646 Issued in AL

Legal business name

MADISON BEHAVIORAL DIAGNOSTIC AND TREATMENT SERVICES

Practice address

1643 Slaughter Rd
Madison, AL 35758-8692

Phone

(256) 895-8148

Fax

(256) 489-8148

NPI assigned

Dec 3, 2006

Organization subpart

No

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

Authorized official

Name

Douglas William Adams, M.D.NPI 1043291123

Title

President Owner

Phone

(256) 895-8148

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

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

• Douglas W Adams, MD

  • Psychiatry Physician
  • Huntsville, AL
  • NPI 1043291123
  Medicare reassignment Authorized official
• Deora Kaye Johnson, DNP, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1336139278
  NPD (past)

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

{
    "created_epoch": "1165104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1851469142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357580383",
            "telephone_number": "256-895-8148",
            "fax_number": "256-489-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 SLAUGHTER RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588692",
            "telephone_number": "256-895-8148",
            "fax_number": "256-489-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON BEHAVIORAL DIAGNOSTIC AND TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-03",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "256-895-8148",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AL",
            "license": "22646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Lytle, MSOTR/L, CHT
• Hannah Winningham Mabrey
• Makayla Macilveen, M.S., CCC-SLP
• Kyle Blake Maddox, D.C.
• Madison Acupuncture Wellness LLC
• Madison Chiropractic & Nutrition Center, LLC
• Madison City
• Madison Dental Associates LLC
• Madison Dental Associates, P.C.
• Madison Dental Center L.L.C.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Madison, AL
• Providers in Madison, AL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.