SOUTHEASTERN PSYCHIATRIC MANAGEMENT, INC. (NPI# 1750559084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750559084 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN PSYCHIATRIC MANAGEMENT, INC. |
| Other Organization Name | MOUNTAIN VIEW RESIDENTIAL PROGRAM |
| Practice Address |
3001 Scenic Hwy Gadsden AL 35904-3047 |
| Practice Telephone | 2565469265 |
| Practice Fax Number | 2565490376 |
| Mailing Telephone | 2565469265 |
| Mailing Fax Number | 2565490376 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-03-11 |
| Authorized Official Name | JOY R BALLENGER (NETWORK MANAGER) |
| Authorized Official Telephone | 2565469265 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | RTF0013H | 05 |
| Other Name | Type Code |
|---|---|
| Mountain View Residential Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720131246 | Southeastern Psychiatric Management, Inc. | Counselor | 315 Saint Lukes Dr, Montgomery, AL 36117-7109 | 2007-01-19 |
| 1346240470 | Southeastern Psychiatric Management, Inc. | Psychiatric Hospital | 3001 Scenic Hwy, Gadsden, AL 35904-3047 | 2005-07-29 |
| 1548521727 | Southeastern Psychiatric Management, Inc. | Counselor | 3001 Scenic Highway, Gadsden, AL 35904 | 2012-06-04 |
| 1811040330 | Southeastern Psychiatric Management, Inc. | Counselor | 3001 Scenic Hwy, Gadsden, AL 35904-3047 | 2007-01-19 |
| 1427112911 | Southeastern Psychiatric Management, Inc. | Counselor | 2202a Gateway Drive, Opelika, AL 36801 | 2006-12-20 |
| 1699839183 | Southeastern Psychiatric Management, Inc. | Counselor | 315 St. Lukes Drive, Montgomery, AL 36117-7109 | 2006-12-20 |
| 1144384637 | Southeastern Psychiatric Management, Inc. | Counselor | 3001 Scenic Hwy, Gadsden, AL 35904-3047 | 2006-12-20 |
| 1205999455 | Southeastern Psychiatric Management, Inc. | Counselor | 1302 Noble St, Anniston, AL 36201-4693 | 2006-12-19 |
| Street Address |
3001 SCENIC HWY |
| City | GADSDEN |
| State | AL |
| Zip Code | 35904-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240470 | Southeastern Psychiatric Management, Inc. | Psychiatric Hospital | 3001 Scenic Hwy, Gadsden, AL 35904-3047 | 2005-07-29 |
| 1164990883 | Sandy Marie Hughes | Social Worker | 3001 Scenic Hwy, Gadsden, AL 35904-3047 | 2018-11-12 |
| 1710491873 | Ramona Kay Pettry | Nurse Practitioner | 3001 Scenic Hwy, Gadsden, AL 35904 | 2017-11-28 |
| 1003271743 | Daphne Ragland | Counselor | 3001 Scenic Hwy, Gadsden, AL 35904-3047 | 2015-12-23 |
| 1588087605 | Joy Elizabeth Mosley | Registered Nurse | 3001 Scenic Hwy, Gadsden, AL 35904-3047 | 2014-01-24 |
| 1770823312 | David Fuller | Counselor | 3001 Scenic Hwy, Gadsden, AL 35904-3047 | 2013-02-19 |
| 1588915912 | Morris Dale Brantley | Social Worker | 3001 Scenic Hwy, Gadsden, AL 35904-3047 | 2012-09-25 |
| 1124385083 | Southeastern Psychiatric Management. Inc. | Psychiatric Hospital | 3001 Scenic Hwy, Gadsden, AL 35904-3047 | 2012-04-17 |
| 1700179264 | George Michael Shehi Jr. | Psychiatry & Neurology | 3001 Scenic Hwy, Gadsden, AL 35904-3047 | 2011-05-17 |
| 1144519471 | Gmsphc Partners LLC | Psychiatric Hospital | 3001 Scenic Hwy, Gadsden, AL 35904-3047 | 2011-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982847968 | Branch Care Inc. | Home Health Aide | 212 Wall Street, Gadsden, AL 35904 | 2009-04-07 |
| 1578775003 | Amedisys | Home Health | 525 S. 3rd St., Gadsden, AL 35904 | 2007-05-04 |
| 1588773733 | David Gerald Stapp | Pharmacist | 102a Eble Street, Physicians Apothecary Noccalula, Gadsden, AL 35904 | 2006-08-30 |
| 1902856214 | Quality of Life Health Services,inc | Clinic/Center | 502 North 27th Avenue, Gadsden, AL 35904 | 2006-05-10 |
| 1548521727 | Southeastern Psychiatric Management, Inc. | Counselor | 3001 Scenic Highway, Gadsden, AL 35904 | 2012-06-04 |
| 1699878322 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2608 W. Meighan Blvd, Gadsden, AL 35904-1714 | 2006-09-07 |
| 1255344891 | Akil Taherbhai | Family Medicine | Doctors Med Care of Gadsden, P.C., 3206 W. Meighan Blvd., Gadsden, AL 35904-1726 | 2006-08-14 |
| 1679504260 | Doctors Med Care of Gadsden, P.C. | Family Medicine | 3206 W Meighan Blvd, Gadsden, AL 35904-1726 | 2006-07-05 |
| 1598960320 | Etowah County | Local Education Agency (LEA) | 3200 W Meighan Blvd, Gadsden, AL 35904-1732 | 2007-06-20 |
| 1225041874 | Jerry D Rogers | Durable Medical Equipment & Medical Supplies | 300 Wall St, Gadsden, AL 35904-1938 | 2006-08-14 |
| Find all providers in zip 35904 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962508101 | Thirteenth Place, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 409 S 12th St, Gadsden, AL 35901-3529 | 2006-09-15 |
| 1538261326 | Burt's Place Home for Boys | Residential Treatment Facility, Emotionally Disturbed Children | 901 Tuscaloosa Ave, Gadsden, AL 35901-3170 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952701112 | Tears Teens Empowerment Awareness With Resolutions, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 206 E Oak St, Tuskegee, AL 36083-1819 | 2014-08-25 |
| 1093068199 | Working On Womanhood Program | Residential Treatment Facility, Emotionally Disturbed Children | 6001 12th Ave E Ste B, Tuscaloosa, AL 35405-5163 | 2012-10-26 |
| 1568793362 | Sequel Tsi of Alabama, LLC New Directions | Residential Treatment Facility, Emotionally Disturbed Children | 318a Hamer Rd, Owens Cross Roads, AL 35763-9612 | 2010-01-19 |
| 1700116373 | Sequel Tsi of Paint Rock Valley, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3890 County Road 20, Trenton, AL 35774-7423 | 2010-01-05 |
| 1528398161 | Atonement Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3570 11th St Ne, Tuscaloosa, AL 35404-1906 | 2010-01-04 |
| 1295064269 | Camellia Therapeutic Foster Agency LLC | Residential Treatment Facility, Emotionally Disturbed Children | 407 S Seale Rd, Phenix City, AL 36869-7304 | 2009-12-21 |
| 1740518117 | Moriah Christian Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 417 County Road 446, Dutton, AL 35744-8457 | 2009-11-24 |
| 1346482866 | Pinnacle Behavior Health, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 29495 Copperhead Lane, Elkmont, AL 35620 | 2009-03-30 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1841480571 | Children's Aid Society | Residential Treatment Facility, Emotionally Disturbed Children | 181 West Valley Ave, Suite 300, Homewood, AL 35209-3698 | 2007-07-30 |
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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.