NORTHWEST ALABAMA MENTAL HEALTH CENTER (NPI# 1154596971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154596971 |
| Entity Type | Organization |
| Organization Name | NORTHWEST ALABAMA MENTAL HEALTH CENTER |
| Practice Address |
1100 7th Ave Jasper AL 35501-4377 |
| Practice Telephone | 2053029000 |
| Practice Fax Number | 2053848270 |
| Mailing Telephone | 2053029000 |
| Mailing Fax Number | 2053848270 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | MR. FLOYD F NEWMAN JR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2053029053 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS AND BLUE SHIELD - ALL KIDS PLUS | 515 11700 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932485372 | Northwest Alabama Mental Health Center | Community/Behavioral Health | 141 2nd Ave Nw, Vernon, AL 35592-0756 | 2011-10-31 |
| 1851485981 | Northwest Alabama Mental Health Center | Psychiatric Hospital | 5980 Highway 159, Fayette, AL 35555-5047 | 2006-10-03 |
| 1245324342 | Northwest Alabama Mental Health Center | Psychiatric Hospital | 427 Smokey Bear Rd, Hamilton, AL 35570-6514 | 2006-10-03 |
| 1053405175 | Northwest Alabama Mental Health Center | Psychiatric Hospital | 245 Medical Clinic Dr, Vernon, AL 35592-5232 | 2006-10-03 |
| 1851448930 | Northwest Alabama Mental Health Center | Case Management | 1100 7th Ave, Jasper, AL 35501-4377 | 2007-01-04 |
| 1699858159 | Northwest Alabama Mental Health Center | Psychiatric Hospital | 42104 Highway 195, Haleyville, AL 35565-7053 | 2006-10-20 |
| 1578644365 | Northwest Alabama Mental Health Center | Psychiatric Hospital | 1100 7th Ave, Jasper, AL 35501-4377 | 2006-10-18 |
| 1295829489 | Northwest Alabama Mental Health Center | Clinic/Center | 1100 7th Ave, Jasper, AL 35501-4377 | 2006-10-03 |
| 1871687756 | Northwest Alabama Mental Health Center | Pediatrics | 3400 Highway 78 E, Jasper, AL 35501-8907 | 2006-10-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHWEST ALABAMA MENTAL HEALTH CENTER | 1100 7th Ave, Jasper, AL 35501-4377 |
| Street Address |
1100 7TH AVE |
| City | JASPER |
| State | AL |
| Zip Code | 35501-4377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639119894 | Syed R Aftab | Psychiatry & Neurology | 1100 7th Ave, Jasper, AL 35501-4377 | 2006-06-07 |
| 1588288856 | Tiffany Pugh | Case Manager/Care Coordinator | 1100 7th Ave, Jasper, AL 35501-4377 | 2020-06-03 |
| 1932723202 | Elisa Holm | Counselor | 1100 7th Ave, Jasper, AL 35501-4377 | 2020-06-03 |
| 1306460621 | Daisy Clark | Case Manager/Care Coordinator | 1100 7th Ave, Jasper, AL 35501-4377 | 2020-06-02 |
| 1831713155 | Chris Randall Prince | Counselor | 1100 7th Ave, Jasper, AL 35501-4377 | 2020-06-02 |
| 1801410121 | Robert Martin | Counselor | 1100 7th Ave, Jasper, AL 35501-4377 | 2020-06-02 |
| 1174147490 | Shera Henderson | Counselor | 1100 7th Ave, Jasper, AL 35501-4377 | 2020-06-02 |
| 1053935387 | Anita Bouldes | Counselor | 1100 7th Ave, Jasper, AL 35501-4377 | 2020-06-02 |
| 1407470735 | Lashunda Nolden | Counselor | 1100 7th Ave, Jasper, AL 35501-4377 | 2020-06-02 |
| 1861016198 | Teresa Estes | Counselor | 1100 7th Ave, Jasper, AL 35501-4377 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194209650 | Ansley Parnell Allen | Dentist | 1208 Highway 78 East, Jasper, AL 35501 | 2018-09-20 |
| 1437659265 | A Calling Consulting and Wellness Center, LLC | Social Worker | 300 18th St West, Suite 101, Jasper, AL 35501 | 2018-02-19 |
| 1902315591 | Lucretia Fountain | Pharmacist | 1640 Hwy 78 East, Jasper, AL 35501 | 2017-09-26 |
| 1356708465 | Veterans Admistration | Clinic/Center | 1454 Jones Dairy Road, Jasper, AL 35501 | 2016-01-20 |
| 1104233717 | Garrison Stephen Cowen | Obstetrics & Gynecology | 701 East 19th Street, Jasper, AL 35501 | 2014-07-15 |
| 1700291903 | Jennifer Leah Neighbors Beasley | Internal Medicine | 1450 Jones Dairy Rd Ste 500, Jasper, AL 35501 | 2014-06-25 |
| 1841568391 | Gloria Jean Farris | Nurse Practitioner | 300 Cherokee Circle, Jasper, AL 35501 | 2011-12-12 |
| 1013205970 | Daniel Jason Morris | Orthopaedic Surgery | 1446 Jones Dairy Rd Ste 100, Jasper, AL 35501 | 2011-07-13 |
| 1417150954 | East Point Pharmacy, LLC | Pharmacy | 1442 Jones Dairy Rd., Jasper, AL 35501 | 2007-06-11 |
| 1275754210 | Karen Denise Veitch | Pharmacist | 2405 Us Hwy 78 East, Jasper, AL 35501 | 2007-05-01 |
| Find all providers in zip 35501 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881225738 | Kendyl Hensley LLC | Clinic/Center | 1697 Hawthorne Ln, Prattville, AL 36066-7346 | 2020-01-29 |
| 1578048815 | New Leaf Counseling Services of The Tn Valley LLC | Clinic/Center | 250 Sun Temple Dr Ste C1, Madison, AL 35758-5925 | 2018-10-02 |
| 1851897920 | Isbell Counseling, LLC | Clinic/Center | 2415 Waid Cir N, Southside, AL 35907-7043 | 2018-04-05 |
| 1730689738 | Blissful Mind Behavioral Health | Clinic/Center | 207 Eustis Ave Se Ste D, Huntsville, AL 35801-4234 | 2018-02-15 |
| 1124574074 | Peulthai House/behavioral Health Day Treatment Center | Clinic/Center | 14881 G Hwy 231/431, North Hazel Green, AL 35750 | 2016-08-31 |
| 1619347325 | Pinnacle Behavioral Health, Inc | Clinic/Center | 2800 Bob Wallace Ave Sw, Huntsville, AL 35805-4154 | 2015-10-07 |
| 1902216203 | Rudolph Bolling Psychiatry PC | Clinic/Center | 201 Beacon Pkwy W Ste 201, Birmingham, AL 35209-3129 | 2014-05-07 |
| 1750480752 | Tuscaloosa Juvenile Detention Center | Clinic/Center | 6001 12th Ave E, Tuscaloosa, AL 35405-5163 | 2006-09-22 |
| 1922010651 | Specialized Alternatives for Families and Youth of America, Inc. | Clinic/Center | 9532 Wynlakes Pl, Montgomery, AL 36117-8515 | 2006-08-12 |
| 1760439590 | Hc Parternership | Clinic/Center | 6869 5th Avenue South, Birmingham, AL 35212-1866 | 2006-05-27 |
| Find all providers with the same taxonomy | ||||
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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.