Active NPI
Henry Randall Griffith, PHD
- Clinical Neuropsychologist
- Vestavia, AL
National Provider Identifier
1891703054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1222
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051554327 | Medicaid | AL | |
| P00226576 | Other | AL | RAILROAD MEDICARE |
| 051519003 | Other | AL | BLUE 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1222 | AL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Griffith Counseling | Current | 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.
-
- Clinical Neuropsychologist
- Birmingham, AL
- NPI 1548493000
-
- Clinical Psychologist
- Vestavia, AL
- NPI 1396141222
-
- Mental Health Counselor
- Vestavia, AL
- NPI 1588362867
-
- Clinical Neuropsychologist
- Northport, AL
- NPI 1093996985
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.