NPIMap

Organization Active NPI

Wellspring Christian Clinic, Inc.

  • Clinical Psychologist
  • Vestavia, AL
National Provider Identifier
1962526301
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
889 Issued in AL
Legal business name
WELLSPRING CHRISTIAN CLINIC, INC.
Practice address
3104 Blue Lake Dr
Suite 100
Vestavia, AL 35243-2345
Phone
(205) 977-3003
Fax
(205) 977-3939
NPI assigned
Mar 19, 2007
Last updated
Apr 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Dr. Thomas Al Saunders Jr., PSY.D.
Title
Director
Phone
(205) 977-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 889 AL Primary

Addresses

Primary practice location

3104 Blue Lake Dr
Suite 100
Vestavia, AL 35243-2345

Mailing address

3104 Blue Lake Dr
Suite 100
Vestavia, AL 35243-2345
Phone (205) 977-3003

National Provider Directory

National Provider Directory

Locations

3104 Blue Lake Dr
Ste 100
Vestavia, AL 35243
Phone (205) 915-6284

Practitioners & affiliated clinicians

Practitioners 12

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1962526301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 BLUE LAKE DR",
            "address_2": "SUITE 100",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432345",
            "telephone_number": "205-977-3003",
            "fax_number": "205-977-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 BLUE LAKE DR",
            "address_2": "SUITE 100",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432345",
            "telephone_number": "205-977-3003",
            "fax_number": "205-977-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING CHRISTIAN CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "AL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "205-977-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.