RICHARD L AZRIN (NPI# 1003905787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003905787 |
| Entity Type | Individual |
| Full Name | RICHARD L AZRIN |
| Credential | PH. D. |
| Practice Address |
4260 Cahaba Heights Ct Ste 180 Vestavia AL 35243-5711 |
| Practice Telephone | 0532978152 |
| Practice Fax Number | 2053297816 |
| Mailing Telephone | 0532978152 |
| Mailing Fax Number | 2053297816 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 819 | AL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
819 | AL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | FEDERAL BLUE CROSS | 051503120 | 01 |
| AL | 362466400 | US DEPART. OF LABOR | 01 |
| AL | BLUE CROSS | 051501026 | 01 |
| Street Address |
4260 CAHABA HEIGHTS CT STE 180 |
| City | VESTAVIA |
| State | AL |
| Zip Code | 35243-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205223 | See Inc | Optometrist | 200 Summit Blvd, Suite 168, Birmingham, AL 35243 | 2019-10-03 |
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1548747942 | Kaitlyn Bennett | Occupational Therapist | 3140 Cahaba Heights Road, Suite 102, Vestavia, AL 35243 | 2018-07-27 |
| 1013407675 | Alabama Radiation Therapy Services | Radiology | 3670 Grandview Pkwy #100, Birmingham, AL 35243 | 2018-05-18 |
| 1184169559 | Olivia Diann Gaston | Behavioral Analyst | 3296 Cahaba Heights Rd., Milestones Behavior Group., Vestavia, AL 35243 | 2016-12-21 |
| 1679027841 | Aspire Physical Recovery Center At Cahaba River, LLC | Skilled Nursing Facility | 3070 Healthy Way, Vestavia, AL 35243 | 2016-08-05 |
| 1306203682 | Abbey Elizabeth Duke | Physician Assistant | 3690 Grandview Parkway, Birmingham, AL 35243 | 2016-01-18 |
| 1689078628 | Mary Camp | Occupational Therapist | 3140 Cahaba Heights Road Suite 102, Vestavia Hills, AL 35243 | 2014-10-20 |
| 1255757209 | Laura Romundstad | Nurse Practitioner | 3670 Grandview Parkway, Suite 100, Birmingham, AL 35243 | 2014-03-14 |
| 1841631199 | Seth Alexander Martin | Developmental Therapist | 3981 Kyle Lane, Milestones Behavior Consulting, Vestavia, AL 35243 | 2013-07-16 |
| Find all providers in zip 35243 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205457504 | Elaine Joy Mahoney | Clinical Neuropsychologist | 1717 6th Ave S # Src190, Birmingham, AL 35233-1801 | 2020-04-28 |
| 1669896809 | Emma Lee Peden | Clinical Neuropsychologist | 702 Carr Cir, Headland, AL 36345-1916 | 2014-02-07 |
| 1083958813 | William Jeffrey Bryson | Clinical Neuropsychologist | 250 Chateau Dr Sw Ste 145, Huntsville, AL 35801-6437 | 2012-11-16 |
| 1376893032 | Thomas Joseph Conboy | Clinical Neuropsychologist | 1200 14th St, Suite A, Phenix City, AL 36867-4907 | 2012-09-10 |
| 1295025997 | Sharon D Waltz | Clinical Neuropsychologist | 1365 Caliston Way, Pelham, AL 35124 | 2011-04-14 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1548493000 | Henry R. Griffith, Ph.d. | Clinical Neuropsychologist | 1025 23rd St S, Suite 100, Magnolia Financial Building, Birmingham, AL 35205-2499 | 2009-09-01 |
| 1497989370 | Gove Hill Memorial Hospital, Inc | Clinical Neuropsychologist | 295 South Jackson Street, Grove Hill, AL 36451-0935 | 2009-05-07 |
| 1013193010 | Joanna T Koulianos | Clinical Neuropsychologist | 22 N Florida St, Mobile, AL 36607-3108 | 2008-01-21 |
| 1093996985 | Neuropsychology Clinic | Clinical Neuropsychologist | 2804 20th Ave, Northport, AL 35476-3835 | 2007-11-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RICHARD L AZRIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.