Organization Active NPI

Psychological Care Services of Al, LLC

  • Clinical Psychologist
  • Birmingham, AL
National Provider Identifier
1861759219
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PSYCHOLOGICAL CARE SERVICES OF AL, LLC
Practice address
1 Perimeter Park S
Ste 100N
Birmingham, AL 35243-2327
Phone
(985) 641-2513
Fax
(985) 265-4155
NPI assigned
Apr 23, 2012
Last updated
Aug 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Gertrude M ParkerNPI 1689728958
Title
Sole MBR
Phone
(985) 641-2513

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

1 Perimeter Park S
Ste 100N
Birmingham, AL 35243-2327

Mailing address

109 Doubloon Dr
Slidell, LA 70461-2715
Phone (985) 641-2513

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1861759219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 DOUBLOON DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704612715",
            "telephone_number": "985-641-2513",
            "fax_number": "985-265-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PERIMETER PARK S",
            "address_2": "STE 100N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432327",
            "telephone_number": "985-641-2513",
            "fax_number": "985-265-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL CARE SERVICES OF AL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "GERTRUDE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "985-641-2513"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.