DOTHAN BEHAVIORAL MEDICINE CLINIC PC
NPI 1336277540
Psychiatry & Neurology - Child & Adolescent Psychiatry in Dothan, AL
NPI Status: Active since March 01, 2007
Contact Information
408 HEALTHWEST DR
DOTHAN, AL
ZIP 36303
Phone: (334) 702-7222
Fax: (334) 702-1944
- Organization
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
- CLIA Number: 01D1025710
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-13-2026
About DOTHAN BEHAVIORAL MEDICINE CLINIC PC
This page provides the complete NPI Profile along with additional information for Dothan Behavioral Medicine Clinic Pc, a provider established in Dothan, Alabama operating as a Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1336277540 assigned on March 2007. The practitioner's primary taxonomy code is 2084P0804X with license number 19943 (AL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Tami Johson (Office Manager)
- NPI
- 1336277540
- Provider Name
- DOTHAN BEHAVIORAL MEDICINE CLINIC PC
- Entity Type
- Organization
- Location Address
- 408 HEALTHWEST DR DOTHAN, AL 36303
- Location Phone
- (334) 702-7222
- Location Fax
- (334) 702-1944
- Mailing Address
- 101 MEDICAL DR DOTHAN, AL 36303
- Mailing Phone
- (334) 702-7222
- Mailing Fax
- (334) 702-1944
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-01-2007
- Last Update Date
- 07-29-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 19943
- License State
- AL
- Taxonomy Description
- Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 01D1025710
- Facility Type
- Physician Office
- Certificate Effective Date
- May 14, 2024
- Certificate Expiration Date
- May 13, 2026
- Laboratory Director
- ANGELA DAWKINS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Dothan Behavioral Medicine Clinic Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 2 | 7 | 7 | 5 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 4 | 7 | 14 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 4 + 7 + 1 + 4 + 5 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1336277540 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780020602 | HOLLEY BROCK LPC Individual | Counselor (Mental Health) | 408 HEALTHWEST DR DOTHAN, AL 36303 (334) 702-7222 |
| 1750303053 | SUSANNAH C. DAUGHTRY Individual | Pharmacist | 408 HEALTHWEST DR DOTHAN, AL 36303 (334) 479-0541 |
| 1295166346 | DOTHAN BEHAVIORAL MEDICINE CLINIC PC Organization | Pharmacy (Community/Retail Pharmacy) | 408 HEALTHWEST DR DOTHAN, AL 36303 (334) 479-0541 |
| 1154471548 | DR. NELSON HANDAL M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 408 HEALTHWEST DR DOTHAN, AL 36303 (334) 702-7222 |
| 1578921888 | JENNY QUEVEDO PHD Individual | Psychologist (Clinical) | 408 HEALTHWEST DR DOTHAN, AL 36303 (334) 702-7222 |
| 1407450190 | MS. MARGARET HELEN HUDSON RPH Individual | Pharmacist | 408 HEALTHWEST DR DOTHAN, AL 36303 (334) 479-0541 |
| 1962267997 | MARY KATHRYN MICHAELIS PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 408 HEALTHWEST DR DOTHAN, AL 36303 (334) 702-7222 |
| 1588322994 | MADYLAN CLAYTON RN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 408 HEALTHWEST DR DOTHAN, AL 36303 (334) 791-7222 |
| 1356192371 | HARRIET BISSETTE PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 408 HEALTHWEST DR DOTHAN, AL 36303 (334) 702-2222 |
| 1669025854 | CHELESIA BURKES-BROWN PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 408 HEALTHWEST DR DOTHAN, AL 36303 (334) 702-7222 |
| 1285432773 | LAKEBRA SCOTT PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 408 HEALTHWEST DR DOTHAN, AL 36303 (334) 702-7222 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336277540, enumerated in the NPI registry as an "organization" on March 01, 2007
The provider is located at 408 Healthwest Dr Dothan, Al 36303 and the phone number is (334) 702-7222
This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0804X with a focus in Child & Adolescent Psychiatry
The provider's CLIA number is 01D1025710 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.