NPIMap

Organization Active NPI

Psycamore Psychiatric Programs, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, MS
National Provider Identifier
1215751300
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PSYCAMORE PSYCHIATRIC PROGRAMS, LLC
Practice address
28 Glenwood Place
Ste B
Columbus, MS 39705
Phone
(601) 939-5993
Fax
(601) 939-5935
NPI assigned
Nov 14, 2024
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PSYCAMORE PSYCHIATRIC PROGRAMS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Tina McManus
Title
Billing and Credentialing Manager
Phone
(601) 939-5993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

28 Glenwood Place
Ste B
Columbus, MS 39705

Mailing address

2540 Flowood Drive
Flowood, MS 39232
Phone (601) 939-5993

National Provider Directory

National Provider Directory
Tax ID family
Psycamore LLC7 organizations share this tax ID, including this one
Part of
Psycamore LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

28 Glenwood Dr
Ste B
Columbus, MS 39705
Phone (601) 939-5993

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1215751300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 FLOWOOD DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-939-5993",
            "fax_number": "601-939-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 GLENWOOD PLACE",
            "address_2": "STE B",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "39705",
            "telephone_number": "601-939-5993",
            "fax_number": "601-939-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCAMORE PSYCHIATRIC PROGRAMS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSYCAMORE PSYCHIATRIC PROGRAMS, LLC",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "BILLING AND CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "601-939-5993"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.