Organization Active NPI

Adcock Behavioral Services

  • Community/Behavioral Health Agency
  • Hattiesburg, MS
National Provider Identifier
1013650886
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ADCOCK BEHAVIORAL SERVICES
Practice address
211 Donwood PL
Hattiesburg, MS 39401-7065
Phone
(601) 433-7950
NPI assigned
Apr 19, 2022
Last updated
Apr 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Adcock, BCBA, LBANPI 1629694831
Title
Bcba
Phone
(601) 433-7950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

211 Donwood PL
Hattiesburg, MS 39401-7065

Mailing address

211 Donwood PL
Hattiesburg, MS 39401-7065

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1013650886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 DONWOOD PL",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 DONWOOD PL",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017065",
            "telephone_number": "601-433-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADCOCK BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "ADCOCK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "601-433-7950",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.