Organization Active NPI

North Central Alabama Mental Retardation Authority, Inc.

  • Early Intervention Provider Agency
  • Decatur, AL
National Provider Identifier
1982850491
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
NORTH CENTRAL ALABAMA MENTAL RETARDATION AUTHORITY, INC.
Practice address
445 Moulton St E
Decatur, AL 35601-3000
Phone
(256) 355-7315
Fax
(256) 355-7315
NPI assigned
Aug 15, 2008
Last updated
Aug 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Mr. Earl E. Brightwell
Title
Director
Phone
(256) 355-7315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

445 Moulton St E
Decatur, AL 35601-3000

Mailing address

445 Moulton St E
P.O. Box 597
Decatur, AL 35601-3000
Phone (256) 355-7315

Other identifiers 1

IdentifierTypeStateIssuer
591500001MedicaidAL

National Provider Directory

National Provider Directory
Tax ID family
North Central Alabama Mental Retardation Authority Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1982850491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 MOULTON ST E",
            "address_2": "P.O. BOX 597",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013000",
            "telephone_number": "256-355-7315",
            "fax_number": "256-355-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 MOULTON ST E",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013000",
            "telephone_number": "256-355-7315",
            "fax_number": "256-355-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL ALABAMA MENTAL RETARDATION AUTHORITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "BRIGHTWELL",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "256-355-7315",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "591500001",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.