DR TOM CONBOY, INC (NPI# 1417367962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417367962 |
| Entity Type | Organization |
| Organization Name | DR TOM CONBOY, INC |
| Practice Address |
1200 14th St Suite A Phenix City AL 36867-4907 |
| Practice Telephone | 2058211607 |
| Mailing Telephone | 2058211607 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-14 |
| Authorized Official Name | DR. THOMAS JOSEPH CONBOY (PRESIDENT) |
| Authorized Official Telephone | 2058211607 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
555 | AL | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
555 | AL | Ambulatory Health Care Facilities |
| Street Address |
1200 14TH ST SUITE A |
| City | PHENIX CITY |
| State | AL |
| Zip Code | 36867-4907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376893032 | Thomas Joseph Conboy | Clinical Neuropsychologist | 1200 14th St, Suite A, Phenix City, AL 36867-4907 | 2012-09-10 |
| 1326422585 | Monique Smiley | Counselor | 1200 14th St, Phenix City, AL 36867-4907 | 2015-07-16 |
| 1194130435 | My Psy LLC | Psychologist | 1200 14th St, Suite A, Phenix City, AL 36867-4907 | 2014-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576986 | Victoria Martinec | Dental Hygienist | 3732 Us Hwy 280, Phenix City, AL 36867 | 2020-04-06 |
| 1255993390 | Alexa Paige Jones | Family Medicine | 3700 Ste A S Railroad St, Phenix City, AL 36867 | 2019-06-28 |
| 1548755150 | David Thompson | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr., Phenix City, AL 36867 | 2018-06-26 |
| 1134613714 | Sarah Uehara Yee | Dentist | 3732 Hwy 280 Bypass, Phenix City, AL 36867 | 2018-06-18 |
| 1770074676 | James L Pridgen IIi | Registered Nurse | 1533 Summerplace Dr, Phenix City, AL 36867 | 2018-05-25 |
| 1598288219 | Rachelle Moliere | Nurse Practitioner | 4402 Riverchase Drive, #4301, Phenix City, AL 36867 | 2017-07-25 |
| 1417477852 | Devin William Collins | Orthopaedic Surgery | 4401 River Chase Drive, Phenix City, AL 36867 | 2017-06-27 |
| 1770003774 | Tabatha Yvette Jones | Registered Nurse | 506 Lee Rd 554, Phenix City, AL 36867 | 2017-06-21 |
| 1134659030 | Jack Clifford Golden Jr. | Pharmacist | 3700 Us Hwy 280/431n, Phenix City, AL 36867 | 2017-06-14 |
| 1386098440 | Mudassar Khan | Orthopaedic Surgery | 4401 Riverchase Dr, Phenix City, AL 36867 | 2016-04-14 |
| Find all providers in zip 36867 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1578173464 | H3o Living, LLC | Clinic/Center | 29000 U.S. 98, Daphne, AL 36526 | 2020-08-05 |
| 1811505183 | Auburn Therapy Associates LLC | Clinic/Center | 135 Denali Ln, Auburn, AL 36832-5124 | 2020-07-22 |
| 1841826005 | Doran & Associates | Clinic/Center | 221 Eastside Sq, Huntsville, AL 35801-4858 | 2020-03-19 |
| 1518591361 | Next Chapter Counseling Foley LLC | Clinic/Center | 820 N Alston St Ste A, Foley, AL 36535-3510 | 2020-03-02 |
| 1508405069 | The Capstone Rural Health Center | Clinic/Center | 110 Legion Rd Ste B, Double Springs, AL 35553-2365 | 2020-01-02 |
| 1548805328 | Iop Services LLC | Clinic/Center | 100 Centerview Dr Ste 150, Vestavia Hills, AL 35216-3749 | 2019-11-15 |
| 1033751029 | Louise Davis Support Services Industry, Inc. | Clinic/Center | 832 Mccaskill Rd, Dickinson, AL 36436-3643 | 2019-10-11 |
| 1801442082 | Maggie Haag LLC | Clinic/Center | 27625 Us Highway 98 # A, Daphne, AL 36526-4816 | 2019-08-14 |
| 1194238881 | French Town Residential LLC | Clinic/Center | 1000 Avenue W., Birmingham, AL 35214 | 2017-11-16 |
| 1558874149 | Advanced Behavioral Health | Clinic/Center | 300 Clinton Ave W Ste 21, Huntsville, AL 35801-5590 | 2017-11-06 |
| Find all providers with the same taxonomy | ||||
| City | PHENIX CITY |
| Zip Code | 36867 |
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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.