| Northwest Alabama Mental Health Center | |
|
1100 7th Ave Jasper AL 35501-4377 | |
| (205) 302-9000 | |
| (205) 387-8270 |
| Full Name | Northwest Alabama Mental Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 7th Ave, Jasper, Alabama |
| Authorized Official Name and Position | Floyd Fulton Newman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2053029065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Alabama Mental Health Center 1100 7th Ave Jasper AL 35501-4377 Ph: (205) 302-9000 | Northwest Alabama Mental Health Center 1100 7th Ave Jasper AL 35501-4377 Ph: (205) 302-9000 |
| NPI Number | 1295829489 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 10/17/2011 |
| Medicare PECOS PAC ID | 0749181998 |
|---|---|
| Medicare Enrollment ID | O20040128001049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295829489 | NPI | - | NPPES |
| 330000015 | Medicaid | AL | |
| 590000015 | Medicaid | AL | |
| 330034015 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Farrukh Jamil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740243534 PECOS PAC ID: 5193620631 Enrollment ID: I20031205000763 |
| Provider Name | Syed R Aftab |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639119894 PECOS PAC ID: 9133192909 Enrollment ID: I20040818001362 |
| Provider Name | Paula J Sweet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336251313 PECOS PAC ID: 2264401306 Enrollment ID: I20040927000805 |
| Provider Name | Clyde Mclane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992912455 PECOS PAC ID: 6002991452 Enrollment ID: I20080310000108 |
| Provider Name | Masood A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669681623 PECOS PAC ID: 2769569698 Enrollment ID: I20080402000759 |
| Provider Name | Ajmal M Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538251426 PECOS PAC ID: 5890865950 Enrollment ID: I20080531000016 |
| Provider Name | Brandi J Rudolph Bolling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962611616 PECOS PAC ID: 4789739673 Enrollment ID: I20110816000338 |
| Provider Name | Belynda J Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821347766 PECOS PAC ID: 1052550902 Enrollment ID: I20130625000647 |
| Provider Name | Martha A Rubley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295240513 PECOS PAC ID: 3779830344 Enrollment ID: I20180727002198 |
| Provider Name | Ashley Shante Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760002364 PECOS PAC ID: 0143698993 Enrollment ID: I20221129000527 |
| Provider Name | Andrew Franklin Kizzire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871267708 PECOS PAC ID: 6406292945 Enrollment ID: I20240307000332 |
| Provider Name | Deborah Threadgill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265662548 PECOS PAC ID: 8820434954 Enrollment ID: I20240312002649 |
| Provider Name | David Vogt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669238713 PECOS PAC ID: 2365888310 Enrollment ID: I20240312003644 |
| Provider Name | Nancy R Kennedy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316276751 PECOS PAC ID: 2567800550 Enrollment ID: I20240410001322 |
Hartt Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 18th St W Fl 1, Jasper, AL 35501 Phone: 205-522-5033 Fax: 205-582-4345 | |
Bhc-walker Neurology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Us Highway 78 E, Medical Arts Tower, Suite 311, Jasper, AL 35501 Phone: 205-715-5198 | |
The Wellness Center Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3608 Highway 78 E, Jasper, AL 35501 Phone: 205-300-3577 | |
Northwest Alabama Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 7th Ave, Jasper, AL 35501 Phone: 205-302-9000 Fax: 205-384-8270 | |
Pamela D. Robinson Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Longwood Pl, Jasper, AL 35504 Phone: 205-300-0716 | |
Crystal Nuss, Lcsw, Pip Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 N Walston Bridge Rd, Jasper, AL 35504 Phone: 205-300-4857 | |
Walker Baptist Medical Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3400 Highway 78 E, Jasper, AL 35501 Phone: 205-387-4000 Fax: 205-387-4011 |