| Brookwood Psychology Llc | |
|
3037 Massey Rd Vestavia AL 35216-3603 | |
| (205) 874-9805 | |
| (205) 874-9806 |
| Full Name | Brookwood Psychology Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3037 Massey Rd, Vestavia, Alabama |
| Authorized Official Name and Position | Joel D Melvin (OWNER) |
| Authorized Official Contact | 2058749805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookwood Psychology Llc 3037 Massey Rd Vestavia AL 35216-3603 Ph: (205) 874-9805 | Brookwood Psychology Llc 3037 Massey Rd Vestavia AL 35216-3603 Ph: (205) 874-9805 |
| NPI Number | 1699946053 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 01/17/2018 |
| Medicare PECOS PAC ID | 6709045610 |
|---|---|
| Medicare Enrollment ID | O20120313000731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699946053 | NPI | - | NPPES |
| 300177100 | Other | AL | US DEPARTMENT OF LABOR |
| S18031 | Other | AL | UPIN |
| 051099592 | Other | AL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 799 (Alabama) | Primary |
| Provider Name | Joel Melvin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548338718 PECOS PAC ID: 8325207244 Enrollment ID: I20150407001745 |
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