CHARLES THEODORE REVELEY MD NPI 1245265982

NPI Information

  • NPI: 1245265982
  • Provider Name: CHARLES THEODORE REVELEY, MD
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Individual
  • Address: 400 OFFICE PARK DR
    SUITE 110
    MOUNTAIN BRK, AL
    ZIP 35223
  • Phone: (205) 870-8415

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NPI Details

Charles Theodore Reveley, MD is a psychiatry psychiatry neurology in Mountain Brk, AL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. Charles Theodore Reveley, MD NPI is 1245265982. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 OFFICE PARK DR
SUITE 110
MOUNTAIN BRK, AL
ZIP 35223-408
Phone: (205) 870-8415

The enumeration date for this NPI number is 7/11/2006 and was last updated on 4/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryMD.28076ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1051531151MEDICARE PINALABAMA
2B65474MEDICARE UPINALABAMA
3051531151OTHERALABAMABLUE CROSS
4051531152OTHERALABAMABC FEDERAL EHBP
5P00334980MEDICARE PINALABAMA
6515-92203OTHERALABAMABLUECROSS BLUESHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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