Campkidz Unlimited

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CAMPKIDZ UNLIMITED

Practice address

2460 Terry Rd
Jackson, MS 39204-5767

Phone

(601) 850-6189

NPI assigned

Jan 17, 2019

Last updated

Jan 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danah Evans

Title

Member

Phone

(601) 850-6189

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1053885582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CHERRY ST",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "390383009",
            "telephone_number": "601-850-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 TERRY RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392045767",
            "telephone_number": "601-850-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPKIDZ UNLIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DANAH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "601-850-6189"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Grice Campbell, MD
• Liana Renee Campbell, M.D.
• Nancy L Campbell, M.D.
• Patrecia Campbell, FNP-C
• William Francis Campbell, M.D.
• Victoria Canada
• Candid Mississippi, P.C.
• Ashley Miller Canizaro, M.D.
• Colleen G Cannon, CFNP
• D Timothy Cannon, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Jackson, MS
• Providers in Jackson, MS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.