Active NPI
Peaceful Mind Psychiatry
- Psychiatric/Mental Health Nurse Practitioner
- Meridian, MS
National Provider Identifier
1124738711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- PEACEFUL MIND PSYCHIATRY
- Doing business as
- Peaceful Mind Psychiatry
- Practice address
- 2399 Long Creek Rd
Meridian, MS 39301-9342 - Phone
- (601) 701-5609
- NPI assigned
- Dec 5, 2022
- Last updated
- Mar 11, 2023
- 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
- Stephanie Creshell Ruffin, NURSE PRACTITIONER
- Title
- Provider/Owner
- Phone
- (601) 701-5609
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
2399 Long Creek Rd
Meridian, MS 39301-9342
Mailing address
2399 Long Creek Rd
Meridian, MS 39301-9342
Phone (601) 701-5609
Other names 1
- Peaceful Mind Psychiatry
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | stephanier@hcotg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
103 Millcreek Cors
Brandon, MS 39047
Phone (601) 207-2017
Practitioners & affiliated clinicians
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Meridian, MS
- NPI 1124791512
-
- Clinical Social Worker
- Brandon, MS
- NPI 1295431641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678492800000",
"number": "1124738711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2399 LONG CREEK RD",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393019342",
"telephone_number": "601-701-5609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2399 LONG CREEK RD",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393019342",
"telephone_number": "601-701-5609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACEFUL MIND PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-05",
"last_updated": "2023-03-11",
"certification_date": "2023-03-11",
"status": "A",
"authorized_official_last_name": "RUFFIN",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "CRESHELL",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "601-701-5609",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "stephanier@hcotg.org",
"affiliation": "N",
"address_1": "2399 Long Creek Rd",
"city": "Meridian",
"state": "MS",
"country_code": "US",
"postal_code": "393019342",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Peaceful Mind Psychiatry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.