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DAVID FORMWALT PSY D
NPI 1164591541
Psychologist - Clinical in Mobile, AL

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment
7305 COTTAGE HILL ROAD, MOBILE, AL 36695(251) 776-1217(251) 776-1219 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David Formwalt Psy D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID FORMWALT PSY D (NPI 1164591541) is an individual clinical provider in Mobile, Alabama, licensed in Alabama (1104) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1164591541
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDAVID FORMWALTCredential: PSY D
Location Address7305 COTTAGE HILL ROADMobile, AL 36695
Mailing AddressPob 91276, David Formwalt Psy D LlcMobile, AL 36691 · (251) 776-1217 · Fax (251) 776-1219
Phone(251) 776-1217
Fax(251) 776-1219
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1164591541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in AL · 1104
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
7305 COTTAGE HILL ROAD, Mobile, AL 36695
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Other Identifiers 1

Medicare UPIN98829AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Formwalt Psy D is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739237272
PECOS Enrollment IDI20090511000333
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36695 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FORMWALT AND WILLIAMS INC
Psychologist (Clinical)
7305 COTTAGE HILL ROAD
MOBILE, AL 36695
Mobile County (251) 776-1217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Formwalt's NPI number?

The NPI number for David Formwalt is 1164591541. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is David Formwalt located?

David Formwalt practices at 7305 Cottage Hill Road, Mobile, AL 36695. The listed phone number is (251) 776-1217.

What is David Formwalt's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is David Formwalt enrolled in Medicare?

Yes. David Formwalt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Formwalt accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, Providence Health Plan and UnitedHealthcare list David Formwalt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Formwalt was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.