Chandra Sumlin-Brown Dba Sumlin Behavioral Services

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

R886070 Issued in MS

Legal business name

CHANDRA SUMLIN-BROWN DBA SUMLIN BEHAVIORAL SERVICES

Practice address

8237B Okatibbee Dam Road
Collinsville, MS 39325

Phone

(601) 480-6232

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By 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

Mrs. Chandra Renae Sumlin-Brown, PMHNP-BC

Title

Psychiatric Nurse Practitioner

Phone

(601) 480-6232

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Chandra R Sumlin, LPC

  • Psychiatric/Mental Health Nurse Practitioner
  • Collinsville, MS
  • NPI 1437278371
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1083160782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8237B OKATIBBEE DAM ROAD",
            "city": "COLLINSVILLE",
            "state": "MS",
            "postal_code": "39325",
            "telephone_number": "601-480-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8237B OKATIBBEE DAM ROAD",
            "city": "COLLINSVILLE",
            "state": "MS",
            "postal_code": "39325",
            "telephone_number": "601-480-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDRA SUMLIN-BROWN DBA SUMLIN BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "SUMLIN-BROWN",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "601-480-6232",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MS",
            "license": "R886070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09532822",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "425235054A",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blooming Healthcare Services LLC
• Larry Bourrage, RN
• Jasmin Marie Brooks
• Margaret Trussell Brown, LMFT
• Hunter Burns, LPC
• Collinsville Drugs Inc (Mr Discount Drugs)
• Collinsville Family Dental
• Collinsville Physical Therapy Clinic, LLC
• Ernest Barton Cross, AUDIOLOGIST
• Haylee Danielle Dial

• Psychiatric Hospital in Collinsville, MS
• Providers in Collinsville, MS by specialty
• Psychiatric Hospital in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.