Individual provider Active NPI

Henry Randall Griffith, PHD

  • Clinical Neuropsychologist
  • Vestavia, AL
National Provider Identifier
1891703054
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
1222 Issued in AL
Practice address
400 Vestavia Pkwy Ste 130
Vestavia, AL 35216-3750
Phone
(205) 823-2373
Fax
(205) 823-2378
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 1222 AL Primary

Addresses

Primary practice location

400 Vestavia Pkwy Ste 130
Vestavia, AL 35216-3750

Mailing address

3438 Chapel Hills Pkwy
Fultondale, AL 35068-6081
Phone (205) 948-7183

Other identifiers 3

IdentifierTypeStateIssuer
051554327MedicaidAL
P00226576OtherALRAILROAD MEDICARE
051519003OtherALBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031125000182 AL Practitioner - Clinical Psychologist 7517870439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

400 Vestavia Pkwy
Suite 130
Vestavia, AL 35216-3750
Phone (205) 823-2373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1222ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Griffith Counseling CurrentSince Jan 14, 2024 Accepting new patients
Henry R. Griffith PHD Current Accepting new patients
Neuropsychology Clinic Clinical Neuropsychologist Past Accepting new patients

Locations

400 Vestavia Pkwy
Ste 130
Vestavia, AL 35216
Phone (205) 324-8499

300 Vestavia Pkwy
Ste 2300
Vestavia, AL 35216
Phone (205) 795-2087

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1891703054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 CHAPEL HILLS PKWY",
            "city": "FULTONDALE",
            "state": "AL",
            "postal_code": "350686081",
            "telephone_number": "205-948-7183",
            "fax_number": "205-719-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VESTAVIA PKWY STE 130",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352163750",
            "telephone_number": "205-823-2373",
            "fax_number": "205-823-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "HENRY",
        "middle_name": "RANDALL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AL",
            "license": "1222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051554327",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00226576",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051519003",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

Verify at the official NPI Registry.