EASTSIDE MENTAL HEALTH CENTER INC (NPI# 1770637910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770637910 |
| Entity Type | Organization |
| Organization Name | EASTSIDE MENTAL HEALTH CENTER INC |
| Practice Address |
129 E Park Cir Birmingham AL 35235-3000 |
| Practice Telephone | 2058367283 |
| Practice Fax Number | 2058369594 |
| Mailing Telephone | 2058367283 |
| Mailing Fax Number | 2058369594 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | MRS. BEVERLY FRANCES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2058367283 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | EASTSIDE MENTAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 330000004 | 05 | |
| AL | PEEHIP STATE INSURANCE | 051008105 | 01 |
| AL | MEDICARE GROUP BLOUNT | I023 | 01 |
| Street Address |
129 E PARK CIR |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35235-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730108192 | Terri S Steele | Psychiatry & Neurology | 129 E Park Cir, Birmingham, AL 35235-3000 | 2006-07-18 |
| 1841829942 | Meredith K Stutts | Counselor | 129 E Park Cir, Birmingham, AL 35235-3000 | 2020-04-02 |
| 1497393581 | Tanekia Danielle Smith | Counselor | 129 E Park Cir, Birmingham, AL 35235-3000 | 2019-12-19 |
| 1013562123 | Clifford A Wright | Counselor | 129 E Park Cir, Birmingham, AL 35235-3000 | 2019-08-06 |
| 1295289031 | Kimberly E Hyden | Social Worker | 129 E Park Cir, Birmingham, AL 35235-3000 | 2016-08-10 |
| 1407227861 | Yuliya Spencer | Nurse Practitioner | 129 E Park Cir, Birmingham, AL 35235-3000 | 2015-10-12 |
| 1730524513 | Courtney Benjamin | Counselor | 129 E Park Cir, Birmingham, AL 35235-3000 | 2013-05-07 |
| 1184067605 | Dolores Ann Guschke | Registered Nurse | 129 E Park Cir, Birmingham, AL 35235-3000 | 2013-04-15 |
| 1689917676 | Darrell Ann Carr | Registered Nurse | 129 E Park Cir, Birmingham, AL 35235-3000 | 2013-03-28 |
| 1871840199 | Phillip Plemons | Nurse Practitioner | 129 E Park Cir, Birmingham, AL 35235-3000 | 2012-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972743 | Orthosports Associates, LLC | Durable Medical Equipment & Medical Supplies | 52 Medical Plaza Drive, Suite 220, Birmingham, AL 35235 | 2020-11-04 |
| 1336612456 | Amber Bozeman | Nurse Practitioner | Medical 50 Medical Park East Dr., Birmingham, AL 35235 | 2019-01-11 |
| 1629581517 | Lacey Pody | Psychiatry & Neurology | 48 Medical Park Dr E Ste 159, Birmingham, AL 35235 | 2017-11-14 |
| 1215467873 | Kathy Brooks Nelson | Pharmacist | 5919 Trussville Crossing Parkway, Birmingham, AL 35235 | 2017-06-15 |
| 1306291711 | Melissa Santos Perez | Dentist | 1820 Gadsden Hwy Ste 112, Birmingham, AL 35235 | 2016-05-04 |
| 1548647407 | Anastasia T Nelson | Pediatrics | 3729 Mary Taylor Road, Birmingham, AL 35235 | 2015-04-29 |
| 1922351378 | Bee Ready | Home Health | 615 Meadows Dr, Birmingham, AL 35235 | 2012-10-23 |
| 1245597087 | Erin Nicole Wait | Obstetrics & Gynecology | Eastern Obgyn, 48 Medical Park East Drive Suite 355, Birmingham, AL 35235 | 2012-04-18 |
| 1265701270 | Reliable Transportation LLC | Non-emergency Medical Transport (VAN) | 213 Gasden Hy, Suite 100, Birmingham, AL 35235 | 2011-12-20 |
| 1134412687 | Sarah S Killeen | Anesthesiology | 50 Medical Park Dr. E, Suite 321, Birmingham, AL 35235 | 2011-05-17 |
| Find all providers in zip 35235 | ||||
| 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 |
|---|---|---|---|---|
| 1326652785 | Perfect Imperfections Behavioral Health Services LLC | Community/Behavioral Health | 1829 Princeton Ct Sw, Birmingham, AL 35211-2430 | 2020-09-03 |
| 1740893346 | Phoenix Community Support Services LLC | Community/Behavioral Health | 4111 Avenue L, Birmingham, AL 35208-1807 | 2020-08-25 |
| 1295390995 | Infinity Group Home LLC | Community/Behavioral Health | 1412 Cahaba River Parc, Birmingham, AL 35243-3269 | 2019-05-08 |
| 1467911461 | Rize Therapeutic Mentoring Service | Community/Behavioral Health | 429 Green Springs Hwy Ste 161, Birmingham, AL 35209-4938 | 2019-03-19 |
| 1366918047 | Healing Branches Transformatons LLC | Community/Behavioral Health | 5915 Princess Blvd, Birmingham, AL 35215-8500 | 2018-10-19 |
| 1720595291 | Amy Ray LLC | Community/Behavioral Health | 5520 Highway 280 Ste 4, Birmingham, AL 35242-2308 | 2018-01-05 |
| 1891210902 | Sunshine Health Systems | Community/Behavioral Health | 808 20th St S, Birmingham, AL 35205-2752 | 2017-08-09 |
| 1437672300 | Parkway Learning Center for Adults LLC | Community/Behavioral Health | 9000 Parkway E, Birmingham, AL 35206-1557 | 2017-07-21 |
| 1912446832 | Exceeding Contentment Behavioral Health, Inc | Community/Behavioral Health | 1717 2nd Ave W, Birmingham, AL 35208-5205 | 2017-02-13 |
| 1639620735 | Alcohol and Drug Abuse Council | Community/Behavioral Health | 1923 14th Ave S, Birmingham, AL 35205-4905 | 2016-10-24 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35235 |
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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.