| Montgomery Area Mental Health Authority Inc | |
|
2140 Upper Wetumpka Rd Montgomery AL 36107-1342 | |
| (334) 279-7830 | |
| (334) 277-8862 |
| Full Name | Montgomery Area Mental Health Authority Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2140 Upper Wetumpka Rd, Montgomery, Alabama |
| Authorized Official Name and Position | Donna C Leslie (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3342797830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery Area Mental Health Authority Inc Po Box 3223 Montgomery AL 36109-0223 Ph: (334) 279-7830 | Montgomery Area Mental Health Authority Inc 2140 Upper Wetumpka Rd Montgomery AL 36107-1342 Ph: (334) 279-7830 |
| NPI Number | 1710012398 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 03/13/2023 |
| Medicare PECOS PAC ID | 8527010917 |
|---|---|
| Medicare Enrollment ID | O20160302001632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710012398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Alabama) | Primary |
| Provider Name | Rusheng Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750408266 PECOS PAC ID: 4284735606 Enrollment ID: I20070728000181 |
| Provider Name | Bharti A Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205938297 PECOS PAC ID: 7416030341 Enrollment ID: I20080214000494 |
| Provider Name | Shankar Yalamanchili |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558332569 PECOS PAC ID: 0547343311 Enrollment ID: I20080218000110 |
| Provider Name | Julie B Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699040329 PECOS PAC ID: 0547424194 Enrollment ID: I20120611000364 |
| Provider Name | Jayakrishna Madabushi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982836045 PECOS PAC ID: 5092956599 Enrollment ID: I20130725000726 |
| Provider Name | Laura A Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730587551 PECOS PAC ID: 1456679406 Enrollment ID: I20150423000846 |
| Provider Name | Jessaka Fife |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1891900957 PECOS PAC ID: 3678879269 Enrollment ID: I20160308001463 |
| Provider Name | Janet Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497774970 PECOS PAC ID: 3072508233 Enrollment ID: I20170626002184 |
| Provider Name | Albert Z Holloway |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831298355 PECOS PAC ID: 9133382187 Enrollment ID: I20171106001104 |
| Provider Name | Dianne Camille Kelly Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467919365 PECOS PAC ID: 8325371032 Enrollment ID: I20190612002014 |
| Provider Name | Ashley Tippins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619530326 PECOS PAC ID: 7911236294 Enrollment ID: I20190911003171 |
| Provider Name | Danielle Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679114532 PECOS PAC ID: 0345672838 Enrollment ID: I20191121003154 |
| Provider Name | Katherine Theuri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902235831 PECOS PAC ID: 2466868831 Enrollment ID: I20210309002793 |
| Provider Name | James Daniel Hensel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023757937 PECOS PAC ID: 3971982067 Enrollment ID: I20220621000692 |
| Provider Name | Lisa Edwards Crumpton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568084242 PECOS PAC ID: 5092185017 Enrollment ID: I20230214002697 |
| Provider Name | Brianna Seales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881388890 PECOS PAC ID: 4284081852 Enrollment ID: I20231103003113 |
Your Doctor's Office, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8630 Vaughn Rd, Montgomery, AL 36117 Phone: 334-676-4076 Fax: 334-676-4064 | |
Baptist Health Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 470 Taylor Rd Ste 310, Montgomery, AL 36117 Phone: 334-244-4322 Fax: 334-244-4321 | |
Jackson Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine Street, Suite 103, Montgomery, AL 36106 Phone: 334-293-8888 Fax: 334-293-8154 | |
Baptist Health Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Brown Springs Rd, Montgomery, AL 36117 Phone: 334-273-4159 Fax: 334-273-4556 | |
Aikam Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Zelda Rd, Montgomery, AL 36106 Phone: 334-245-5969 | |
Stewart H. Tankersley, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine St, Suite 203, Montgomery, AL 36106 Phone: 334-240-2334 | |
Vaughn Urgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9540 Wynlakes Pl, Montgomery, AL 36117 Phone: 334-395-9933 Fax: 334-395-9907 |