Organization Active NPI

Child Behavioral Resources LLC

  • Pediatrics Physician
  • Mobile, AL
National Provider Identifier
1881149557
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILD BEHAVIORAL RESOURCES LLC
Practice address
6304 Piccadilly Square Dr Ste 3
Mobile, AL 36609-5143
Phone
(251) 219-7643
NPI assigned
Aug 23, 2016
Last updated
Aug 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Madeleine Blancher
Title
Owner
Phone
(251) 219-7643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

6304 Piccadilly Square Dr Ste 3
Mobile, AL 36609-5143

Mailing address

6304 Piccadilly Square Dr Ste 3
Mobile, AL 36609-5143

National Provider Directory

National Provider Directory

Locations

6304 Piccadilly Square Dr
Ste 3
Mobile, AL 36609
Phone (251) 219-7643

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1881149557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 PICCADILLY SQUARE DR STE 3",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 PICCADILLY SQUARE DR STE 3",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095143",
            "telephone_number": "251-219-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD BEHAVIORAL RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "BLANCHER",
        "authorized_official_first_name": "MADELEINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-219-7643"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.