UNIVERSITY OF SOUTH ALABAMA (NPI# 1134588734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134588734 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF SOUTH ALABAMA |
| Other Organization Name | USA PSYCHIATRY |
| Practice Address |
1015 Montlimar Dr Ste A-210 Mobile AL 36609-1713 |
| Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
| Practice Telephone | 2514607189 |
| Practice Fax Number | 2514606369 |
| Mailing Telephone | 2514343626 |
| Mailing Fax Number | 2514452464 |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |
| Authorized Official Name | HARVEY IKNER (ASSO ADMIN OF AMBULATORY CLINICS) |
| Authorized Official Telephone | 2514701671 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF SOUTH ALABAMA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| USA Psychiatry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962862078 | University of South Alabama | Internal Medicine | 75 S University Blvd Ucom 6000 B, Mobile, AL 36688-0002 | 2016-03-02 |
| 1972963064 | University of South Alabama | Internal Medicine | 2451 Fillingim St, Mastin Bldg 102, Mobile, AL 36617-2238 | 2016-03-02 |
| 1992013593 | University of South Alabama | Clinic/Center | 1119 Hahn, 5721 Usa North Drive, Mobile, AL 36688-0002 | 2010-09-16 |
| 1689995748 | University of South Alabama | General Acute Care Hospital | 251 Cox St Ste 100, Mobile, AL 36604-3302 | 2010-06-11 |
| 1235290628 | University of South Alabama | Case Management | 1714 Center St, Mobile, AL 36604-3301 | 2006-12-12 |
| 1992746838 | University of South Alabama | Internal Medicine | 5870 Alumni Cir, Mobile, AL 36688-0001 | 2006-06-10 |
| 1972138022 | University of South Alabama | General Acute Care Hospital | 2451 University Hospital Dr, Mobile, AL 36617-2300 | 2020-03-10 |
| 1760959613 | University of South Alabama | Clinic/Center | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2018-10-30 |
| 1205303153 | University of South Alabama | Clinic/Center | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2018-10-30 |
| 1295202141 | University of South Alabama | Clinic/Center | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2018-10-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF SOUTH ALABAMA | 307 Univeristy Blvd 380 Administration Bldg, Mobile, AL 36688-3053 |
| Street Address |
1015 MONTLIMAR DR STE A-210 |
| City | MOBILE |
| State | AL |
| Zip Code | 36609-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717894 | Patricia K Noonan | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2005-08-11 |
| 1942830781 | Shannon Lewis | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2020-01-21 |
| 1073021101 | Ashley Blount | Counselor | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2018-01-10 |
| 1205340056 | Chereta Alina Beverly | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2017-11-30 |
| 1134630205 | Alicia Todd | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2017-10-17 |
| 1730612086 | Maridith Hollis | Student in an Organized Health Care Education/Training Program | 1015 Montlimar Dr, Ste A-210, Mobile, AL 36609-1713 | 2017-04-04 |
| 1992237721 | Bradley Brooks | Student in an Organized Health Care Education/Training Program | 1015 Montlimar Dr, Ste A-210, Mobile, AL 36609-1713 | 2017-03-30 |
| 1346605714 | Kelley Wilson | Psychologist | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2015-12-29 |
| 1184089369 | Dedra Delphine Terry | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609 | 2015-12-15 |
| 1033595434 | Shanthi Gatla | Psychiatry & Neurology | 1015 Montlimar Dr, A-210, Mobile, AL 36609-1713 | 2015-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698309 | Bhg Lxxii, LLC | Clinic/Center | 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 | 2020-10-26 |
| 1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
| 1982267241 | Raqueal L. Williams | Registered Nurse | 406 Larose Dr., Mobile, AL 36609 | 2019-04-22 |
| 1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1912420126 | Rural Urgent Care LLC | Clinic/Center | 6280 Grelot Road, Mobile, AL 36609 | 2017-07-19 |
| 1598128407 | Trisha Mcmillon | Counselor | 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 | 2016-03-30 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1386913374 | Janis Marie Fausser | Pharmacist | 5705 Cottagehill Rd, Mobile, AL 36609 | 2011-12-20 |
| 1245524263 | Emily Chisholm | Physical Therapist | 1515 University Blvd. S., Mobile, AL 36609 | 2011-06-07 |
| Find all providers in zip 36609 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346693298 | Southern Psychiatry Associates LLC | Psychiatry & Neurology | 3737 Government Blvd Ste 404, Mobile, AL 36693-4362 | 2016-07-15 |
| 1306296728 | Severin Grenoble Md PC | Psychiatry & Neurology | 3929 Airport Blvd Ste 1-206, Mobile, AL 36609-2233 | 2016-06-16 |
| 1104203066 | Stephen Cheek | Psychiatry & Neurology | 320 Stanton Rd, Apt 432, Mobile, AL 36617-2441 | 2015-04-29 |
| 1205128451 | Jeremy Clint Moore | Psychiatry & Neurology | 501 Bishop Lane, University of South Alabama, Department of Psychiatry, Mobile, AL 36608 | 2011-05-06 |
| 1861713703 | Candes Lynne Dotson | Psychiatry & Neurology | 3929 Airport Blvd Ste 3-300, Mobile, AL 36609-2235 | 2010-06-15 |
| 1104067156 | Charles Elton Smith | Psychiatry & Neurology | 107 Saint Francis St, Suite 2318, Mobile, AL 36602-3334 | 2009-03-19 |
| 1871783522 | James F Hart | Psychiatry & Neurology | 3209 Midtown Park S, Mobile, AL 36606-4126 | 2007-07-30 |
| 1215080296 | Pamela Walton Barnett | Psychiatry & Neurology | 1729 Spring Hill Ave, Suite 6, Mobile, AL 36604-1408 | 2007-01-21 |
| 1316005275 | John R. Cranton | Psychiatry & Neurology | 3929 Airport Blvd Ste 1-202, Mobile, AL 36609-2233 | 2006-12-04 |
| 1316040785 | Farah Khan | Psychiatry & Neurology | 2400 Gordon Smith Drive, Mobile, AL 36617 | 2006-09-07 |
| Find all providers in MOBILE | ||||
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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.