Organization Active NPI

Alabama Behavioral Health PC

  • Psychiatry Physician
  • Madison, AL
National Provider Identifier
1922556141
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD.24473 Issued in AL
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

Updated by the provider on Sep 16, 2016

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20160928000726 AL Part B Supplier - Clinic/Group Practice 3577850999 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, AL

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.