NPIMap

Organization Active NPI

Preferred PHP LLC

  • Psychiatric Hospital
  • Jackson, MS
National Provider Identifier
1225611528
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
PREFERRED PHP LLC
Practice address
1059 Ridgewood PL FL 2
Jackson, MS 39211-2018
Phone
(601) 957-3211
Fax
(601) 957-9753
NPI assigned
May 4, 2021
Last updated
May 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Krishan K Gupta, MDNPI 1598769176
Title
Ceo
Phone
(601) 957-3211

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 Hospital 283Q00000X Primary

Addresses

Primary practice location

1059 Ridgewood PL FL 2
Jackson, MS 39211-2018

Mailing address

PO Box 13531
Jackson, MS 39236-3531
Phone (601) 957-3211

National Provider Directory

National Provider Directory

Locations

1059 Ridgewood Pl
Fl 2
Jackson, MS 39211
Phone (601) 957-3211

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1225611528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13531",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392363531",
            "telephone_number": "601-957-3211",
            "fax_number": "601-957-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 RIDGEWOOD PL FL 2",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392112018",
            "telephone_number": "601-957-3211",
            "fax_number": "601-957-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PHP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "KRISHAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-957-3211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.