NPIMap

Organization Active NPI

Alabama Psychology, Inc

  • Clinical Psychologist
  • Tallassee, AL
National Provider Identifier
1992997878
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 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
Last updated
May 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Dr. Otto J Arnoscht, PHDNPI 1407075153
Title
Owner
Phone
(334) 399-9115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

1736 Taliaferro Trl
Montgomery, AL 36117
Phone (334) 270-9000

Practitioners & affiliated clinicians

Practitioners 4

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": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1992997878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 TAYLOR RD",
            "address_2": "SUITE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177790",
            "telephone_number": "334-270-9914",
            "fax_number": "334-270-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 GILMER AVE",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360787231",
            "telephone_number": "334-283-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA PSYCHOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "ARNOSCHT",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-399-9115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallassee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.