BOARD OF TRUSTEES, UNIVERSITY OF ALABAMA (NPI# 1265736888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265736888 |
| Entity Type | Organization |
| Organization Name | BOARD OF TRUSTEES, UNIVERSITY OF ALABAMA |
| Other Organization Name | UA AUTISM SPECTRUM DISORDER CLINIC |
| Practice Address |
651 5th Ave E Cdrd Room 262 Tuscaloosa AL 35401-7424 |
| Mailing Address |
Po Box 870360 Tuscaloosa AL 35487-0360 |
| Practice Telephone | 2053483130 |
| Practice Fax Number | 2053487216 |
| Mailing Telephone | 2053483130 |
| Mailing Fax Number | 2053487216 |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |
| Authorized Official Name | MICHELLE HAWTHORNE (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2053481262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| UA Autism Spectrum Disorder Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285771261 | Board of Trustees, University of Alabama | Speech-Language Pathologist | 700 Univ Blvd E, Room 145, Tuscaloosa, AL 35401-2028 | 2007-01-31 |
| Street Address |
651 5TH AVE E CDRD ROOM 262 |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-7424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124221122 | Kelly Marie Dickey | Speech-Language Pathologist | 651 5th Ave E, Cdrc Rm 262, Tuscaloosa, AL 35401-7424 | 2007-06-07 |
| 1043562903 | Sarah Marie Ryan | Psychologist | 651 5th Ave E, Cdrc Rm 262, Tuscaloosa, AL 35401-7424 | 2012-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013520204 | Tricia Witte | Psychologist | 4405 Woodland Hills Dr, Tuscaloosa, AL 35405-5420 | 2020-08-26 |
| 1174531958 | Miranda Kay Armstrong | Psychologist | 2810 8th St, Tuscaloosa, AL 35401-2108 | 2006-08-04 |
| 1073583647 | Melissa Kuhajda | Psychologist | 850 5th Ave E, Tuscaloosa, AL 35401-7419 | 2006-01-25 |
| 1174184881 | Mitchell Glen Beavers | Psychologist | 661 Helen Keller Blvd, Tuscaloosa, AL 35404-2963 | 2019-06-24 |
| 1023570686 | Jennifer F Gardner | Psychologist | 115 Harper Court, Tuscaloosa, AL 35401-1250 | 2019-04-03 |
| 1881132058 | Julie Woosley | Psychologist | 3701 Loop Rd, Mental Health Service Line, Tuscaloosa, AL 35404 | 2017-02-07 |
| 1043562903 | Sarah Marie Ryan | Psychologist | 651 5th Ave E, Cdrc Rm 262, Tuscaloosa, AL 35401-7424 | 2012-10-02 |
| 1326398942 | Harriet H Myers | Psychologist | 850 5th Ave E, Tuscaloosa, AL 35401-7419 | 2012-09-11 |
| 1174773915 | Christina Denine Sparks | Psychologist | 3701 Loop Rd, Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404-5015 | 2008-09-29 |
| 1194914101 | Jerry L. Hart Ph.d. Clinical Psychologist P.C. | Psychologist | 701 University Blvd E, Suite 204, Tuscaloosa, AL 35401-2086 | 2007-10-16 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
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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.