NPIMap

Organization Active NPI

Southern Psychological Services, P.C.

  • Clinical Psychologist
  • Mobile, AL
National Provider Identifier
1942426804
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
886 Issued in AL
Legal business name
SOUTHERN PSYCHOLOGICAL SERVICES, P.C.
Practice address
273 Azalea Rd
One Office Park, Suite 305
Mobile, AL 36609-1970
Phone
(251) 323-2022
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kim Michelle Zweifler, PH.D.
Title
President
Phone
(251) 343-2022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 886 AL Primary

Addresses

Primary practice location

273 Azalea Rd
One Office Park, Suite 305
Mobile, AL 36609-1970

Mailing address

6758 Stoneridge CT
Mobile, AL 36695-3061
Phone (251) 776-5944

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942426804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6758 STONERIDGE CT",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953061",
            "telephone_number": "251-776-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 AZALEA RD",
            "address_2": "ONE OFFICE PARK, SUITE 305",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091970",
            "telephone_number": "251-323-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZWEIFLER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-343-2022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.