| Montgomery Area Psychiatric Services, Llc | |
|
2430 Fairlane Dr Suite C-07 Montgomery AL 36116-1642 | |
| (334) 318-0044 | |
| Not Available |
| Full Name | Montgomery Area Psychiatric Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2430 Fairlane Dr, Montgomery, Alabama |
| Authorized Official Name and Position | Babatunde Abolade (MEMBER) |
| Authorized Official Contact | 3343180044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery Area Psychiatric Services, Llc 2430 Fairlane Dr Suite C-07 Montgomery AL 36116-1642 Ph: () - | Montgomery Area Psychiatric Services, Llc 2430 Fairlane Dr Suite C-07 Montgomery AL 36116-1642 Ph: (334) 318-0044 |
| NPI Number | 1700278777 |
|---|---|
| Provider Enumeration Date | 02/26/2015 |
| Last Update Date | 02/26/2015 |
| Medicare PECOS PAC ID | 0547589160 |
|---|---|
| Medicare Enrollment ID | O20150504001487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700278777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 25622 (Alabama) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 25622 (Alabama) | Primary |
| Provider Name | Babatunde K Abolade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285689653 PECOS PAC ID: 4183693237 Enrollment ID: I20040927000565 |
| Provider Name | David Bond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932136645 PECOS PAC ID: 1658546254 Enrollment ID: I20111209000350 |
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