Active NPI
Alabama Behavioral Health PC
- Psychiatry Physician
- Madison, AL
National Provider Identifier
1922556141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD.24473
- Legal business name
- ALABAMA BEHAVIORAL HEALTH PC
- Practice address
- 708 Will Halsey Way
Suite C
Madison, AL 35758-2565 - Phone
- (256) 325-1349
- Fax
- (256) 325-1354
- NPI assigned
- Sep 16, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Regina Doody, MD
- Title
- Owner
- Phone
- (256) 325-1349
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD.24473 | AL | Primary |
Addresses
Primary practice location
708 Will Halsey Way
Suite C
Madison, AL 35758-2565
Mailing address
708 Will Halsey Way
Suite C
Madison, AL 35758-2565
Phone (256) 325-1349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160928000726 | AL | Part B Supplier - Clinic/Group Practice | 3577850999 |
Receives reassigned benefits from 1 practitioner Practice locations: Madison, AL |
National Provider Directory
National Provider DirectoryLocations
708 Will Halsey Way
Ste C
Madison, AL 35758
Phone (256) 325-1349
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": "1473984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473984000000",
"number": "1922556141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 WILL HALSEY WAY",
"address_2": "SUITE C",
"city": "MADISON",
"state": "AL",
"postal_code": "357582565",
"telephone_number": "256-325-1349",
"fax_number": "256-325-1354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 WILL HALSEY WAY",
"address_2": "SUITE C",
"city": "MADISON",
"state": "AL",
"postal_code": "357582565",
"telephone_number": "256-325-1349",
"fax_number": "256-325-1354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALABAMA BEHAVIORAL HEALTH PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-16",
"last_updated": "2016-09-16",
"status": "A",
"authorized_official_last_name": "DOODY",
"authorized_official_first_name": "REGINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-325-1349",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "MD.24473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, AL
- Agilitas USA, Inc
- Fakhra Ahmad-Bodla, N.P.
- Alabama Allergy & Asthma Care LLC
- Alabama Allergy & Asthma Care, LLC
- Alabama Allergy, Asthma, and Sinus Care
- Alabama CVS Pharmacy LLC
- Alabama CVS Pharmacy, L.L.C.
- Alabama CVS Pharmacy, L.L.C.
- Alabama Dental Professionals, P.C.
- Alabama Dental Professionals, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.