Active NPI
Jackson State University
Doing business as SMHART Institute
- Clinical Social Worker
- Jackson, MS
National Provider Identifier
1023285046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JACKSON STATE UNIVERSITY
- Doing business as
- SMHART Institute
- Practice address
- 350 W Woodrow Wilson Ave
Jackson, MS 39213-7681 - Phone
- (601) 979-1531
- NPI assigned
- May 8, 2008
- Last updated
- May 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Felix Okojie
- Title
- Vice-President for Research and Fed
- Phone
- (601) 979-2931
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
350 W Woodrow Wilson Ave
Jackson, MS 39213-7681
Mailing address
PO Box 18199
Jackson, MS 39217-0001
Phone (601) 979-1531
Other names 1
- SMHART Institute
National Provider Directory
National Provider Directory- Tax ID family
- Jackson State University
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Jackson State University Sports Medicine
- General Practice Physician
- Jackson, MS
- NPI 1366991523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210204800000",
"number": "1023285046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18199",
"city": "JACKSON",
"state": "MS",
"postal_code": "392170001",
"telephone_number": "601-979-1531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W WOODROW WILSON AVE",
"city": "JACKSON",
"state": "MS",
"postal_code": "392137681",
"telephone_number": "601-979-1531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON STATE UNIVERSITY",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-08",
"last_updated": "2008-05-08",
"status": "A",
"authorized_official_last_name": "OKOJIE",
"authorized_official_first_name": "FELIX",
"authorized_official_title_or_position": "VICE-PRESIDENT FOR RESEARCH AND FED",
"authorized_official_telephone_number": "601-979-2931",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SMHART Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, MS
- Jackson Public Schools Timberlawn Clinic
- Jackson Pulmonary Associates, PA
- Jackson Radiology Assoc, PA
- Jackson Rehab and Wellness Center
- Jackson Resource Center
- Jackson State University (Jackson State University Sports Medicine)
- Jackson Surgical Group PA
- Jackson Thyroid & Endocrine Clinic PLLC
- Jackson VA Medical Center
- Jackson Vamc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.