BHC-Princeton Psychiatry

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BHC-PRINCETON PSYCHIATRY

Practice address

200 Beacon Pkwy W
Suite 330
Birmingham, AL 35209-3102

Phone

(205) 715-5910

Fax

(205) 715-5928

NPI assigned

Mar 9, 2007

Organization subpart

Yes

Parent organization

BAPTIST HEALTH CENTERS, INC.As reported in NPPES

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

Authorized official

Name

Charles A Faulkner

Title

President

Phone

(205) 715-5901

Specialties & licenses 1

Addresses

Part of

Baptist Health Centers LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Praveen Jetty, M.D.

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1174613160
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1942331863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PRINCETON AVE SW",
            "address_2": "GESTETNER BUILDING 636",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111303",
            "telephone_number": "205-783-7871",
            "fax_number": "205-783-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BEACON PKWY W",
            "address_2": "SUITE 330",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093102",
            "telephone_number": "205-715-5910",
            "fax_number": "205-715-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHC-PRINCETON PSYCHIATRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST HEALTH CENTERS, INC.",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-715-5901"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BHC - Occupational Medicine Rehab
• BHC - Trussville
• BHC-Centre
• BHC-Dekalb
• BHC-Princeton Medical Associates
• BHM MRI Radiology PLLC
• Tarika Bhuta, M.D.
• Emory Leigh Bibb, PA
• Melissa Gayle Bibb, CPNP-PC
• Nanette O'Neal Bickel, PT

• Psychiatry Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.