NPIMap

Organization Active NPI

Boudreaux Mental Health Services

  • Adult Mental Health Clinic/Center
  • Brandon, MS
National Provider Identifier
1154580579
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
R850842 Issued in MS
Legal business name
BOUDREAUX MENTAL HEALTH SERVICES
Practice address
98 Burnham Rd
Suite a
Brandon, MS 39042-2759
Phone
(601) 664-0204
NPI assigned
Jun 2, 2008
Last updated
Jun 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Ms. Kathleen Marie Foley, RN, PMHNP
Title
Owner
Phone
(601) 616-1439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X R850842 MS Primary

Addresses

Primary practice location

98 Burnham Rd
Suite a
Brandon, MS 39042-2759

Mailing address

98 Burnham Rd
Suite a
Brandon, MS 39042-2759
Phone (601) 664-0204

National Provider Directory

National Provider Directory

Locations

98 Burnham Rd
Ste A
Brandon, MS 39042
Phone (601) 664-0204

Practitioners & affiliated clinicians

Practitioners 5

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": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1154580579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 BURNHAM RD",
            "address_2": "SUITE A",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422759",
            "telephone_number": "601-664-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 BURNHAM RD",
            "address_2": "SUITE A",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422759",
            "telephone_number": "601-664-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUDREAUX MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-616-1439",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MS",
            "license": "R850842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.