BREWER PORCH CHILDREN'S CENTER – NPI #1053586313
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Health Care Provider Taxonomy Code for Clinic/Center

BREWER PORCH CHILDREN'S CENTER is an AHC clinic located in TUSCALOOSA, AL. NPPES has assigned the NPI number 1053586313 to BREWER PORCH CHILDREN'S CENTER on April 28, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BREWER PORCH CHILDREN'S CENTER below.

NPI Profile for
BREWER PORCH CHILDREN'S CENTER

NPI Number
1053586313
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BREWER PORCH CHILDREN'S CENTER
Primary location
2501 WOODLAND RD
TUSCALOOSA, AL 35404-5028
Phone: (205) 348-7236 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - BREWER PORCH CHILDREN'S CENTER is subpart of another organization.
Authorized Official
JAMES THOMPSON
EXECUTIVE DIRECTOR
Phone: (205) 348-9340
Updated
Identifiers

Identifiers for BREWER PORCH CHILDREN'S CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERALLKIDS PLUSAL515-13784
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.