CHILD & ADOLESCENT PSYCHOLOGICAL SERVICES OF INVERNESS, PC (NPI# 1639287857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639287857 |
| Entity Type | Organization |
| Organization Name | CHILD & ADOLESCENT PSYCHOLOGICAL SERVICES OF INVERNESS, PC |
| Practice Address |
4898 Valleydale Rd Suite A1 Birmingham AL 35242-4654 |
| Practice Telephone | 2059811330 |
| Practice Fax Number | 2059811390 |
| Mailing Telephone | 2059811330 |
| Mailing Fax Number | 2059811390 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2011-08-24 |
| Authorized Official Name | DR. MICHAEL DAVID FETTER (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2059811330 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1077 | AL | Behavioral Health & Social Service Providers |
| Street Address |
4898 VALLEYDALE RD SUITE A1 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35242-4654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737362 | Shawndrika Latrice Cook | Counselor | 4898 Valleydale Rd, Birmingham, AL 35242-4654 | 2019-02-28 |
| 1902236334 | Alabama Wellness and Recovery Services, LLC | Counselor | 4898 Valleydale Rd, Suite B-1, Birmingham, AL 35242-4654 | 2013-11-21 |
| 1851424683 | Angella K Jernigan | Counselor | 4898 Valleydale Rd, Suite B-4, Birmingham, AL 35242-4654 | 2007-03-13 |
| 1609904234 | French Chiropractic and Wellness Services | Chiropractor | 4898 Valleydale Rd, Suite A-4, Birmingham, AL 35242-4654 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
| 1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
| 1447894175 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 3201 Endeavor Lane, Vestavia Hills, AL 35242 | 2019-11-06 |
| 1952956468 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 6219 Tattersall Blvd., Hoover, AL 35242 | 2019-08-02 |
| 1033670120 | Rachel Monahan -patterson | Registered Nurse | 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 | 2019-03-29 |
| 1891283818 | Elizabeth Mcrae | Counselor | 150 Glenwood Lane, Birmingham, AL 35242 | 2018-04-25 |
| 1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
| 1922526557 | Sarah Katherine Fleming | Specialist/Technologist | 1524 Southern Drive, Birmingham, AL 35242 | 2017-09-04 |
| Find all providers in zip 35242 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740496413 | Julia Sheila Becker | Psychologist | 1801 Pembroke Rd, Birmingham, MI 48009 | 2007-05-16 |
| 1932202173 | Sandra C. Redden | Psychologist | 15 Office Park Circle, Suite 140, Birmingham, AL 35223 | 2006-09-06 |
| 1669979225 | Laura Katherine Hansen | Psychologist | 4778 Overton Rd, Birmingham, AL 35210-3803 | 2018-04-10 |
| 1871974170 | Margaux Jennifer Barnes | Psychologist | 1600 7th Ave S, Cppi 310, Birmingham, AL 35233-1711 | 2015-06-11 |
| 1770903643 | Katherine Walker Byington | Psychologist | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2014-04-18 |
| 1770810046 | Leslie N. Rodrigues | Psychologist | 100 Centerview Dr, Suite 190, Birmingham, AL 35216-3747 | 2009-11-07 |
| 1013197490 | Peter Wakefield Winslett | Psychologist | 2200 Lakeshore Dr, Suite 150, Birmingham, AL 35209-8803 | 2007-11-14 |
| 1851501027 | Kirstin J Bailey | Psychologist | 930 20th St S, Suite 101, Birmingham, AL 35205-2610 | 2007-05-23 |
| 1336258300 | Kristin T Avis | Psychologist | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2006-08-30 |
| 1003869116 | Michelle E Mastin | Psychologist | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2006-05-18 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35242 |
Please comment or provide details below to improve the information on CHILD & ADOLESCENT PSYCHOLOGICAL SERVICES OF INVERNESS, PC.
| 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.