Organization Active NPI

Coastal Healthcare Services P C

  • Clinical Neuropsychologist
  • Fairhope, AL
National Provider Identifier
1992299291
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
26183 Issued in AL
Legal business name
COASTAL HEALTHCARE SERVICES P C
Practice address
116 Fairhope Ave Ste 1
Fairhope, AL 36532
Phone
(251) 255-5335
NPI assigned
Jun 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Dr. Stephen Sawrie, MD, PHD
Title
Owner
Phone
(251) 255-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 26183 AL Primary

Addresses

Primary practice location

116 Fairhope Ave Ste 1
Fairhope, AL 36532

Mailing address

116 Fairhope Ave Ste 1
Fairhope, AL 36532-2314
Phone (251) 255-5335

Other names 1

  • Coastal Medical Neuropsychology Doing business as

National Provider Directory

National Provider Directory

Locations

116 Fairhope Ave
Ste 1
Fairhope, AL 36532
Phone (251) 255-5335

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1992299291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 FAIRHOPE AVE STE 1",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322314",
            "telephone_number": "251-255-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 FAIRHOPE AVE STE 1",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-255-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HEALTHCARE SERVICES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "SAWRIE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-255-5335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "AL",
            "license": "26183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Medical Neuropsychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.