BAYSIDE PSYCHOLOGICAL SERVICES LLC (NPI# 1124256789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124256789 |
| Entity Type | Organization |
| Organization Name | BAYSIDE PSYCHOLOGICAL SERVICES LLC |
| Practice Address |
273 Azalea Rd Ste 305 Mobile AL 36609-1970 |
| Practice Telephone | 2515993728 |
| Mailing Telephone | 2515993728 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |
| Authorized Official Name | DR. JENNIFER M JACKSON (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 2515993728 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
273 AZALEA RD STE 305 |
| City | MOBILE |
| State | AL |
| Zip Code | 36609-1970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698309 | Bhg Lxxii, LLC | Clinic/Center | 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 | 2020-10-26 |
| 1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
| 1982267241 | Raqueal L. Williams | Registered Nurse | 406 Larose Dr., Mobile, AL 36609 | 2019-04-22 |
| 1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1912420126 | Rural Urgent Care LLC | Clinic/Center | 6280 Grelot Road, Mobile, AL 36609 | 2017-07-19 |
| 1598128407 | Trisha Mcmillon | Counselor | 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 | 2016-03-30 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1386913374 | Janis Marie Fausser | Pharmacist | 5705 Cottagehill Rd, Mobile, AL 36609 | 2011-12-20 |
| 1245524263 | Emily Chisholm | Physical Therapist | 1515 University Blvd. S., Mobile, AL 36609 | 2011-06-07 |
| Find all providers in zip 36609 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517147 | Paths To Empowerment Counseling Services, LLC | Community/Behavioral Health | 7850 Country Dr, Mobile, AL 36619-5325 | 2020-04-16 |
| 1538635768 | Ivy Leaf Counseling Services | Community/Behavioral Health | 578 Azalea Rd Ste 112, Mobile, AL 36609-1551 | 2018-10-15 |
| 1205357373 | Michael S. Rosenbaum, Ph.d., P.C. | Community/Behavioral Health | 5920 Grelot Rd Ste E2, Mobile, AL 36609-3606 | 2017-06-29 |
| 1821471723 | Insight Counseling Associates LLC | Community/Behavioral Health | 1120 Hillcrest Rd Ste 1d, Mobile, AL 36695-3953 | 2015-07-09 |
| 1548561731 | Roadmaps To Recovery Counseling Services | Community/Behavioral Health | 702 Rice St, Mobile, AL 36607-1228 | 2010-11-04 |
| 1558513887 | Drug Education Council, Inc. | Community/Behavioral Health | 3000 Television Ave, Mobile, AL 36606-2915 | 2008-10-17 |
| 1285804666 | L'arche Mobile | Community/Behavioral Health | 151 S Ann St, Mobile, AL 36604-2302 | 2008-03-03 |
| 1306321484 | Lifevesting International | Community/Behavioral Health | 1120 Hillcrest Rd, Mobile, AL 36695-3968 | 2018-09-25 |
| 1861931594 | Brighter Days Counseling Services, LLC | Community/Behavioral Health | 4254 Cottage Hill Rd, Mobile, AL 36609-4240 | 2017-02-14 |
| 1841582996 | Dockery & Associates | Community/Behavioral Health | 1340 Sledge Dr, Mobile, AL 36606-3021 | 2011-05-09 |
| Find all providers in MOBILE | ||||
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| 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.