Organization Active NPI

Karl Kirkland, PH.D, PC

  • Clinical Psychologist
  • Montgomery, AL
National Provider Identifier
1851740971
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
341 Issued in AL
Legal business name
KARL KIRKLAND, PH.D, PC
Practice address
8650 Minnie Brown Rd
Suite 116
Montgomery, AL 36117-7803
Phone
(334) 215-4466
Fax
(334) 215-4469
NPI assigned
Jun 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Mr. Karl Kirkland, PH.D.NPI 1588611586
Title
President
Phone
(334) 215-4466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 341 AL Primary

Addresses

Primary practice location

8650 Minnie Brown Rd
Suite 116
Montgomery, AL 36117-7803

Mailing address

8650 Minnie Brown Rd
Suite 116
Montgomery, AL 36117-7803
Phone (334) 215-4466

Other identifiers 2

IdentifierTypeStateIssuer
166424MedicaidAL
890007150MedicaidAL

National Provider Directory

National Provider Directory

Locations

8650 Minnie Brown Rd
Ste 116
Montgomery, AL 36117
Phone (334) 215-4466

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": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1851740971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 MINNIE BROWN RD",
            "address_2": "SUITE 116",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177803",
            "telephone_number": "334-215-4466",
            "fax_number": "334-215-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 MINNIE BROWN RD",
            "address_2": "SUITE 116",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177803",
            "telephone_number": "334-215-4466",
            "fax_number": "334-215-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARL KIRKLAND, PH.D, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-215-4466",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166424",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890007150",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.