Organization Active NPI

The Mental Day PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Southaven, MS
National Provider Identifier
1013877612
Registry record updated Apr 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
THE MENTAL DAY PLLC
Practice address
919 Ferncliff CV Ste 1
Southaven, MS 38671-2402
Phone
(901) 297-9122
NPI assigned
Nov 15, 2025
Last updated
Apr 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2026

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

Authorized official

Name
Amanda Degnan Jackson, PMHNPNPI 1295581486
Title
Owner
Phone
(901) 297-9122

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

919 Ferncliff CV Ste 1
Southaven, MS 38671-2402

Mailing address

6280 Ivy Oaks CV
Olive Branch, MS 38654-7167
Phone (662) 205-5045

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": "1763164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775952000000",
    "number": "1013877612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 IVY OAKS CV",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386547167",
            "telephone_number": "662-205-5045",
            "fax_number": "844-444-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 FERNCLIFF CV STE 1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386712402",
            "telephone_number": "901-297-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MENTAL DAY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-15",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "DEGNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-297-9122",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2026; 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.