| Western Mental Health Center, Inc. | |
|
1701 Avenue D Birmingham AL 35218-1532 | |
| (205) 788-7770 | |
| (205) 788-7552 |
| Full Name | Western Mental Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1701 Avenue D, Birmingham, Alabama |
| Authorized Official Name and Position | Clifford A Wright (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2057887770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Mental Health Center, Inc. 1701 Avenue D Birmingham AL 35218-1532 Ph: (205) 788-7770 | Western Mental Health Center, Inc. 1701 Avenue D Birmingham AL 35218-1532 Ph: (205) 788-7770 |
| NPI Number | 1881776649 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 12/30/2014 |
| Medicare PECOS PAC ID | 8820042146 |
|---|---|
| Medicare Enrollment ID | O20050309000959 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881776649 | NPI | - | NPPES |
| 330000006 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kaycia Vansickle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780796755 PECOS PAC ID: 0941279079 Enrollment ID: I20040927000461 |
| Provider Name | Paula J Sweet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336251313 PECOS PAC ID: 2264401306 Enrollment ID: I20040927000805 |
| Provider Name | Anissa R Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275732570 PECOS PAC ID: 9830275445 Enrollment ID: I20080324000449 |
| Provider Name | Leesha M Ellis Cox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598764698 PECOS PAC ID: 0749235406 Enrollment ID: I20100617000551 |
| Provider Name | Sarah Gilreath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134485386 PECOS PAC ID: 7810151024 Enrollment ID: I20120619000233 |
| Provider Name | Belynda J Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821347766 PECOS PAC ID: 1052550902 Enrollment ID: I20130625000647 |
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