Active NPI
Michael J Mundy, PHD PSYCHOLOGY
- Psychologist
- Tuscaloosa, AL
National Provider Identifier
1942304530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 201
- Practice address
- 200 University Blvd
Tuscaloosa, AL 35402-1231 - Phone
- (205) 759-0904
- Fax
- (205) 759-0931
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 201 | AL | Primary |
Addresses
Primary practice location
200 University Blvd
Tuscaloosa, AL 35402-1231
Mailing address
PO Box 21231
200 Univerity Blvd
Tuscaloosa, AL 35402-1231
Phone (205) 759-0904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00237319 | Other | RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201 | AL | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Alabama Dept of Finance | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942304530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21231",
"address_2": "200 UNIVERITY BLVD",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354021231",
"telephone_number": "205-759-0904",
"fax_number": "205-759-0931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UNIVERSITY BLVD",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354021231",
"telephone_number": "205-759-0904",
"fax_number": "205-759-0931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNDY",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "PHD PSYCHOLOGY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AL",
"license": "201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00237319",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.