CMS-1500 Box 24J / 33a • NPI
1154754661
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
103T00000X (CMS 62)
Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist
Box 32 Service Location & ZIP+4
1976 GADSDEN HWY, STE 149, BIRMINGHAM, AL, 35235-3266
✓ 9-Digit EDI 837 ZIP+4 (35235-3266)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1154754661 (ALABAMA MEDIATION AND FAMILY SOLUTIONS LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1154754661 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ALABAMA MEDIATION AND FAMILY SOLUTIONS LLC |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist NUCC Code: 103T00000X (Psychologist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1976 GADSDEN HWY, STE 149, BIRMINGHAM, AL, 35235-3266 |
| Practice Telephone / Fax | Tel: (205) 503-1643 |
| Administrative Mailing Address | 1352 CALISTON WAY, PELHAM, AL, 35124-6226 |
| Enumeration & Last Sync | Enumerated: 2013-08-20 | CMS Record Updated: 2013-08-20 |
| Authorized Official | SHARON WALTZ (Licensed Clinical Psychologist) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (103T00000X)
What Does Taxonomy Code 103T00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103T00000X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ALABAMA MEDIATION AND FAMILY SOLUTIONS LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103K00000X — Behavior AnalystPlain English: Licensed & Credentialed Behavior Analyst | State: AL | License: 1228 | Primary: Secondary |
101Y00000X — CounselorPlain English: Licensed & Credentialed Counselor | State: AL | License: 1228 | Primary: Secondary |
101YM0800X — Counselor, Mental HealthPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: AL | License: 1228 | Primary: Secondary |
101YP2500X — Counselor, ProfessionalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: AL | License: 1228 | Primary: Secondary |
103TA0700X — Psychologist, Adult Development & AgingPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Adult Development & Aging | State: AL | License: 1228 | Primary: Secondary |
103TB0200X — Psychologist, Cognitive & BehavioralPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral | State: AL | License: 1228 | Primary: Secondary |
103TC0700X — Psychologist, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical | State: AL | License: 1228 | Primary: Secondary |
103TC1900X — Psychologist, CounselingPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Counseling | State: AL | License: 1228 | Primary: Secondary |
103TC2200X — Psychologist, Clinical Child & AdolescentPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent | State: AL | License: 1228 | Primary: Secondary |
103TR0400X — Psychologist, RehabilitationPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Rehabilitation | State: AL | License: 1228 | Primary: Secondary |
103T00000X — PsychologistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist | State: AL | License: 1228 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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