Active NPI
Fusion Behavioral Health Services
- Specialist
- Laurel, MS
National Provider Identifier
1104296938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- FUSION BEHAVIORAL HEALTH SERVICES
- Practice address
- 219 N 17TH Ave
Laurel, MS 39440-4139 - Phone
- (601) 340-3440
- NPI assigned
- Oct 6, 2015
- 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
- Arvinder Kaul, MD
- Title
- Psychiatrist
- Phone
- (601) 340-3440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
219 N 17TH Ave
Laurel, MS 39440-4139
Mailing address
219 N 17TH Ave
Laurel, MS 39440-4139
Phone (601) 340-3440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03932311 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
219 N 17th Ave
Laurel, MS 39440
Phone (601) 340-3440
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Gulfport, MS
- NPI 1801909916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507680000000",
"number": "1104296938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 N 17TH AVE",
"city": "LAUREL",
"state": "MS",
"postal_code": "394404139",
"telephone_number": "601-340-3440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 N 17TH AVE",
"city": "LAUREL",
"state": "MS",
"postal_code": "394404139",
"telephone_number": "601-340-3440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUSION BEHAVIORAL HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-06",
"last_updated": "2017-10-11",
"status": "A",
"authorized_official_last_name": "KAUL",
"authorized_official_first_name": "ARVINDER",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "601-340-3440",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03932311",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.