Provider Demographics
NPI:1578804480
Name:VALLEY PSYCHIATRIC ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:VALLEY PSYCHIATRIC ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:LESTER
Authorized Official - Last Name:SPRINKLE
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:256-306-4128
Mailing Address - Street 1:PO BOX 2240
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35609-2240
Mailing Address - Country:US
Mailing Address - Phone:256-306-4128
Mailing Address - Fax:256-432-2015
Practice Address - Street 1:1615 KATHY LN SW
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35603-1026
Practice Address - Country:US
Practice Address - Phone:256-306-4128
Practice Address - Fax:256-432-2015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2290101YP2500X
AL904103TC0700X
AL0678-1798C1041C0700X
AL217922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty