Organization Active NPI

Smiths Station and Phenix City Psychological

Doing business as Paul R Guinane PhD PC

  • Clinical Psychologist
  • Smiths Station, AL
National Provider Identifier
1952549529
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1445 Issued in AL
Legal business name
SMITHS STATION AND PHENIX CITY PSYCHOLOGICAL
Doing business as
Paul R Guinane PhD PC
Practice address
2061Lee Road 430
Smiths Station, AL 36877-2307
Phone
(334) 577-4978
Fax
(334) 408-4518
NPI assigned
Feb 4, 2009
Last updated
Aug 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Dr. Paul Rodney Guinane, PHD
Title
Licensed Psychologist
Phone
(334) 577-4978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1445 AL Primary

Addresses

Primary practice location

2061Lee Road 430
Smiths Station, AL 36877-2307

Mailing address

475 Nottingham Dr
Auburn, AL 36830-6464
Phone (334) 577-4978

Other identifiers 3

IdentifierTypeStateIssuer
118063MedicaidAL
1134210743OtherGATYPE I NPI
1952549529OtherALTYPE II NPI

Other names 1

  • Paul R Guinane PhD PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100616000221 AL Part B Supplier - Clinic/Group Practice 3476683525 Receives reassigned benefits from 3 practitioners
Practice locations: Smiths Station, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1952549529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 NOTTINGHAM DR",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306464",
            "telephone_number": "334-577-4978",
            "fax_number": "334-408-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061LEE ROAD 430",
            "city": "SMITHS STATION",
            "state": "AL",
            "postal_code": "368772307",
            "telephone_number": "334-577-4978",
            "fax_number": "334-408-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHS STATION AND PHENIX CITY PSYCHOLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "GUINANE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RODNEY",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "334-577-4978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118063",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1134210743",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE II NPI",
            "identifier": "1952549529",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul R Guinane PhD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smiths Station, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.