Organization Active NPI

Peaceful Mind Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1124738711
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Authorized official

Name
Stephanie Creshell Ruffin, NURSE PRACTITIONERNPI 1124791512
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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL stephanier@hcotg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240202003185 MS Part B Supplier - Clinic/Group Practice 1254774565 Receives reassigned benefits from 1 practitioner
Practice locations: Meridian, MS; Brandon, MS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.