BRIDGET O. HANNAHAN (NPI# 1336215995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336215995 |
| Entity Type | Individual |
| Full Name | BRIDGET O. HANNAHAN |
| Credential | PH.D |
| Practice Address |
1707 Center St Suite 201 Mobile AL 36604-3307 |
| Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
| Practice Telephone | 2514158577 |
| Practice Fax Number | 2514158578 |
| Mailing Telephone | 2514158577 |
| Mailing Fax Number | 2514158578 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2015-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
774 | AL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 51539165 | 01 |
| AL | 890019220 | 05 | |
| MS | 09070760 | 05 |
| Street Address |
1707 CENTER ST SUITE 201 |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720027535 | Kathy B. Porter | Obstetrics & Gynecology | 1707 Center St, Suite 102, Mobile, AL 36604-3307 | 2006-06-06 |
| 1720354087 | Anna Hearn Costarides | Psychologist | 1707 Center St, Suite 201, Mobile, AL 36604-3307 | 2012-03-30 |
| 1528135928 | Nancy Alice Brady | Physical Therapist | 1707 Center St, Suite 201, Mobile, AL 36604-3307 | 2006-11-29 |
| 1679593636 | David Ford Lewis Jr. | Obstetrics & Gynecology | 1707 Center St, Suite 102, Mobile, AL 36604-3307 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551449 | John F Kilpatrick | Social Worker | 1156 Springhill Avenue, Mobile, AL 36604 | 2019-10-29 |
| 1477036986 | Rachel Schneider | Specialist/Technologist | 1601 Center St Ste B, Mobile, AL 36604 | 2018-09-11 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
| 1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
| 1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
| 1023341773 | Rebecca Blankenhorn | Audiologist | 1610 Center St., Suite A, Mobile, AL 36604 | 2009-09-14 |
| 1700062684 | William-glenn Langley Hollingsworth | Counselor | 1156 Springhill Ave, Mobile, AL 36604 | 2008-01-10 |
| 1972715415 | Allison May Chung | Pharmacist | 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 | 2007-05-04 |
| 1265504716 | Geriatric Specialists LLC | Internal Medicine | 1059 Palmetto St, Mobile, AL 36604 | 2006-11-13 |
| Find all providers in zip 36604 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1669887063 | Phillip Nelson Smith | Psychologist | University of South Alabama, 75 S. University Blvd., Ucom1000, Mobile, AL 36688-0001 | 2014-06-24 |
| 1346558285 | David Neesmith | Psychologist | 3929 Airport Blvd., Ste 2-520, Mobile, AL 36609 | 2010-09-14 |
| 1992965313 | Mobile Psychological, LLC | Psychologist | 2411 Old Shell Rd, Mobile, AL 36607-3019 | 2008-06-10 |
| 1487813804 | Danielle Andria Beech | Psychologist | 1110 Montlimar Dr Ste 500, Mobile, AL 36609-1794 | 2008-06-02 |
| 1558565440 | Lucile T Williams | Psychologist | Po Box 850818, Mobile, AL 36685-0818 | 2007-06-13 |
| 1235274002 | Jennifer Langhinrichsen-rohling | Psychologist | 307 University Blvd North, University Commons, Ste 2000, Mobile, AL 36688-0001 | 2007-02-20 |
| 1992842629 | Celina Rebecca Guisinger | Psychologist | 4332 Boulevard Park S Ste A, Mobile, AL 36609-3423 | 2007-01-31 |
| 1215081914 | Laura Goulden | Psychologist | 2450 Old Shell Rd # A, Mobile, AL 36607-3020 | 2007-01-22 |
| 1184775736 | Jason (jake) Epker | Psychologist | 2450a Old Shell Rd, Mobile, AL 36607-3020 | 2007-01-12 |
| 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.