Provider Demographics
NPI:1639775711
Name:JOHN M. DUFFEY
Entity Type:Organization
Organization Name:JOHN M. DUFFEY
Other - Org Name:ALABAMA INSTITUTE FOR BEHAVIORAL HEALTH & RESEARCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:DUFFEY
Authorized Official - Suffix:I
Authorized Official - Credentials:MACC
Authorized Official - Phone:334-408-4689
Mailing Address - Street 1:5009 RIVERCHASE DR STE 100A
Mailing Address - Street 2:
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36867-7497
Mailing Address - Country:US
Mailing Address - Phone:334-540-4401
Mailing Address - Fax:334-408-2100
Practice Address - Street 1:5009 RIVERCHASE DR STE 100A
Practice Address - Street 2:
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36867-7497
Practice Address - Country:US
Practice Address - Phone:334-540-4401
Practice Address - Fax:334-408-2100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-05
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Single Specialty
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearchGroup - Single Specialty