Hattiesburg Psychiatric Services, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HATTIESBURG PSYCHIATRIC SERVICES, LLC

Doing business as

Hattiesburg Psychiatric Services

Practice address

34 Millbranch Rd Ste 80
Hattiesburg, MS 39402-1687

Phone

(601) 909-9394

Fax

(601) 909-9383

NPI assigned

May 4, 2022

Last updated

May 5, 2022By 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

Neelou Patel, PMHNPNPI 1528177540

Title

Employee

Phone

(601) 329-1268

Specialties & licenses 1

Addresses

Other names 2

• Hattiesburg Psychiatric Services Doing business as
• Let's talk behavioral Health Former legal business name

Locations

Practitioners 2

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.

• Neelou M. Patel, MHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1528177540
  NPD (past) Authorized official
• Justin Michael Taylor, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1952034456
  NPD (past)

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1114662145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MILLBRANCH RD STE 80",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021687",
            "telephone_number": "601-909-9394",
            "fax_number": "601-909-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MILLBRANCH RD STE 80",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021687",
            "telephone_number": "601-909-9394",
            "fax_number": "601-909-9383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Mayfair Rd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394021702",
            "country_code": "US",
            "telephone_number": "601-909-9394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HATTIESBURG PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NEELOU",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "601-329-1268",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hattiesburg Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Let's talk behavioral Health",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Let's talk behavioral Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.