THE UNIVERSITY OF ALABAMA PSYCHOLOGY CLINIC (NPI# 1467670885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467670885 |
| Entity Type | Organization |
| Organization Name | THE UNIVERSITY OF ALABAMA PSYCHOLOGY CLINIC |
| Practice Address |
505 Hackberry Ln 251a Gordon Palmer Tuscaloosa AL 35487-0001 |
| Mailing Address |
Po Box 870356 251a Gordon Palmer Tuscaloosa AL 35487-0001 |
| Practice Telephone | 2053485003 |
| Practice Fax Number | 2053485002 |
| Mailing Telephone | 2053485003 |
| Mailing Fax Number | 2053485002 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MELISSA F. JACKSON (CLINIC DIRECTOR) |
| Authorized Official Telephone | 2053485003 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1322 | AL | Behavioral Health & Social Service Providers |
| Street Address |
505 HACKBERRY LN 251A GORDON PALMER |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35487-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780235838 | Allie Sheree Mccarthy | Specialist/Technologist | 504 University Boulevard, Tuscaloosa, AL 35487 | 2019-09-20 |
| 1235780396 | Jenna Boyer | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35487 | 2019-09-20 |
| 1144871203 | Genoa Rodgers | Specialist/Technologist | 504 University Boulevard, Tuscaloosa, AL 35487 | 2019-09-20 |
| 1528619681 | Dalton Pollard | Specialist/Technologist | 504 University Boulevard, Tuscaloosa, AL 35487 | 2019-09-20 |
| 1144871211 | Parker Carmichael | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35487 | 2019-09-20 |
| 1053962126 | Autumn Dawkins | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35487 | 2019-09-20 |
| 1962053033 | Kaitlyn Anne Towers | Specialist/Technologist | 504 University Boulevard, Tuscaloosa, AL 35487 | 2019-09-20 |
| 1518518661 | Maya Turner | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35487 | 2019-09-20 |
| 1083133748 | John Michael Miller Jr. | Student in an Organized Health Care Education/Training Program | 718 Magnolia Drive, Tuscaloosa, AL 35487 | 2017-09-13 |
| 1740709492 | Jonathon Blake Danford | Student in an Organized Health Care Education/Training Program | 718 Magnolia Drive, Tuscaloosa, AL 35487 | 2017-09-13 |
| Find all providers in zip 35487 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619309465 | Jerry Gragg | Psychologist | 710 29th Ave, Tuscaloosa, AL 35401-1823 | 2013-08-04 |
| 1194094128 | Heath Ryan Patterson | Psychologist | 1301 Jack Warner Pkwy Ne, Tuscaloosa, AL 35404-1060 | 2011-12-20 |
| 1194004507 | Beverly Elaine Thorn | Psychologist | 505 Hackberry Lane Gordon Palmer Hl Rm 348, Dept. of Psychology, The University of Alabama, Tuscaloosa, AL 35487-0348 | 2011-08-16 |
| 1982898706 | Bettina Schmid | Psychologist | Center for Mental Health and Aging, The University of Alabama, Tuscaloosa, AL 35487-0001 | 2007-09-05 |
| 1457572240 | Kathleen Ann Ronan | Psychologist | 2802 7th St, Tuscaloosa, AL 35401-1808 | 2007-05-01 |
| 1437212289 | Sterling Taylor | Psychologist | 2617 7th Street, Tuscaloosa, AL 35401 | 2006-12-19 |
| 1811055296 | Howard Lee Miller | Psychologist | 70 Cherokee Hls, Tuscaloosa, AL 35404-4984 | 2006-12-05 |
| 1003903725 | Beverly Bell-shambley | Psychologist | 2301 14th St, Tuscaloosa, AL 35401-2929 | 2006-10-05 |
| 1588776702 | Jaana Niinikoski | Psychologist | 2110 Mcfarland Blvd East, Suite F, Tuscaloosa, AL 35404 | 2006-09-01 |
| 1639189400 | Joseph E Maio | Psychologist | 2110 Mcfarland Blvd E Ste F, Tuscaloosa, AL 35404-5820 | 2006-08-08 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35487 |
Please comment or provide details below to improve the information on THE UNIVERSITY OF ALABAMA PSYCHOLOGY CLINIC.
| 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.