NPIMap

Organization Active NPI

Mashburn Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mountain BRK, AL
National Provider Identifier
1952760324
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1258 Issued in AL
Legal business name
MASHBURN PSYCHOLOGICAL SERVICES
Practice address
15 Office Park Cir
Suite 140
Mountain BRK, AL 35223-2524
Phone
(205) 286-6917
Fax
(205) 435-7618
NPI assigned
Feb 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Dr. Robert Eric Mashburn, PSY.D.
Title
Clinical Psychologist
Phone
(205) 286-6917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1258 AL Primary

Addresses

Primary practice location

15 Office Park Cir
Suite 140
Mountain BRK, AL 35223-2524

Mailing address

15 Office Park Cir
Suite 140
Mountain BRK, AL 35223-2524
Phone (205) 286-6917

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1952760324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OFFICE PARK CIR",
            "address_2": "SUITE 140",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232524",
            "telephone_number": "205-286-6917",
            "fax_number": "205-435-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OFFICE PARK CIR",
            "address_2": "SUITE 140",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232524",
            "telephone_number": "205-286-6917",
            "fax_number": "205-435-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASHBURN PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "MASHBURN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "205-286-6917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AL",
            "license": "1258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.