Sound Mind Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SOUND MIND PSYCHIATRY PLLC

Practice address

218B S Denton Rd
New Albany, MS 38652-2810

Phone

(662) 598-8141

Fax

(662) 200-5868

NPI assigned

Feb 24, 2020

Last updated

Sep 11, 2024By 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

Colby Ponder, NPNPI 1023572294

Title

Owner

Phone

(662) 305-5998

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Colby Ponder

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, MS
  • NPI 1023572294
  Medicare reassignment Care Compare group NPD Authorized official
• Sara Lynn Derrick, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Albany, MS
  • NPI 1184565772
  Medicare reassignment Care Compare group NPD
• Luke Garner, MA, LPC, NCC

  • Mental Health Counselor
  • Tupelo, MS
  • NPI 1891310694
  Medicare reassignment Care Compare group NPD
• Emily Moser

  • Psychiatric/Mental Health Nurse Practitioner
  • Tupelo, MS
  • NPI 1639983034
  Medicare reassignment Care Compare group NPD
• Ashley Nicole Moss, LPC

  • Professional Counselor
  • Tupelo, MS
  • NPI 1689006637
  Medicare reassignment Care Compare group NPD
• Whitney Tate, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, MS
  • NPI 1457834913
  Medicare reassignment Care Compare group NPD
• Matthew Gene Maa, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
  • NPI 1225463458

  MS

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1174157689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218B S DENTON RD",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386522810",
            "telephone_number": "662-598-8141",
            "fax_number": "662-200-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218B S DENTON RD",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386522810",
            "telephone_number": "662-598-8141",
            "fax_number": "662-200-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND MIND PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "PONDER",
        "authorized_official_first_name": "COLBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-305-5998",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in New Albany, MS
• Providers in New Albany, 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 Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.