Active NPI
Coastal Healthcare Services P C
- Clinical Neuropsychologist
- Fairhope, AL
National Provider Identifier
1992299291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 26183
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 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
National Provider Directory
National Provider DirectoryLocations
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.