Alabama Psychology, Inc
Organization Active NPI Clinical Psychologist · Tallassee, AL
NPI 1992997878 · NPPES record last updated May 17, 2013
Key facts
- NPI
- 1992997878
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- ALABAMA PSYCHOLOGY, INC
- Practice address
- 2639 Gilmer Ave
Tallassee, AL 36078-7231 - Phone
- (334) 283-3975
- NPI assigned
- Aug 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Otto J Arnoscht, PHD
- Title
- Owner
- Phone
- (334) 399-9115
Practitioners 4
-
Otto Johann Arnoscht, PH.D.
-
Nancy L Sack, PH.D.
-
Carol Skelton, PH.D.
-
Kristin Renee Tubre, PSY.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051027000687 | AL | Part B Supplier - Clinic/Group Practice | 6002833241 |
Receives reassigned benefits from 1 practitioner Practice locations: Eufala, AL; Greenville, AL; Hayneville, AL; Tuskegee, AL |
National Provider Directory
Locations
1736 Taliaferro Trl
Montgomery, AL 36117
Phone (334) 270-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
2639 Gilmer Ave
Tallassee, AL 36078-7231
Mailing address
2257 Taylor Rd
Suite 200
Montgomery, AL 36117-7790
Phone (334) 270-9914
Other providers in Tallassee, AL
- Affordable Hearing Instruments, LLC
- Anmol Ahuja
- Alabama CVS Pharmacy, L.L.C.
- Kenneth Wesley Atkins
- Elizabeth R Bacchus
- Irene Alam Bailey
- Casey Mitchell Baynes
- Thomas Deverell Bianchi
All providers in Tallassee, AL · Clinical Psychologist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.