DOTHAN BEHAVIORAL MEDICINE CLINIC PC - NPI 1336277540 - Psychiatry & Neurology in Dothan, AL

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

On this page

About Dothan Behavioral Medicine Clinic Pc NPPES

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

DOTHAN BEHAVIORAL MEDICINE CLINIC PC (NPI 1336277540) is a healthcare organization registered as a child & adolescent psychiatry in Dothan, Alabama and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Elizabeth Dosoretz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336277540

Entity TypeOrganization

Primary Taxonomy2084P0804X

Legal Business NameDOTHAN BEHAVIORAL MEDICINE CLINIC PC

Location Address408 HEALTHWEST DRDothan, AL 36303-2054

Mailing Address4310 Metro Pkwy Ste 205Fort Myers, FL 33916-9416 · (239) 223-2751 · Fax (334) 702-1944

Phone(334) 702-7222

Fax(334) 702-1944

Organization SubpartNo

Authorized OfficialElizabeth DosoretzCeo · (239) 223-2751

Enumeration DateMarch 1, 2007

Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1336277540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in AL · 19943

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

408 HEALTHWEST DR, Dothan, AL 36303

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D1025710

Dothan Behavioral Medicine · Dothan, AL

Active · expires May 13, 2028

CLIA Number01D1025710

Laboratory TypePhysician Office

Certificate Effective DateMay 14, 2026

Certificate Expiration DateMay 13, 2028

Laboratory DirectorTemeka Buggs

Laboratory Phone(334) 702-7222

Laboratory LocationDothan Behavioral Medicine408 Healthwest Drive, Dothan, AL 36303

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

HOLLEY BROCK LPC

Counselor (Mental Health)