Urban Healthcare Developers, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

URBAN HEALTHCARE DEVELOPERS, LLC

Doing business as

Northeast MS Community Mental Health Center

Practice address

2533 Main St
Plantersville, MS 38862-7907

Phone

(662) 840-0196

Fax

(662) 840-0198

NPI assigned

Aug 25, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Ray L Shoemaker

Title

Ceo / Owner

Phone

(662) 321-1155

Specialties & licenses 1

Addresses

Other names 1

• Northeast MS Community Mental Health Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• August White, LPC/MHSP

  • Professional Counselor
  • Nashville, TN
  • NPI 1881950707
  NPD
• Justin David Roby, M.D.

  • Family Medicine Physician
  • Hayesville, NC
  • NPI 1588639496
  NPD (past)

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1235445438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 W MAIN ST",
            "address_2": "SUITE 410",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388043817",
            "telephone_number": "662-840-0196",
            "fax_number": "662-840-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 MAIN ST",
            "city": "PLANTERSVILLE",
            "state": "MS",
            "postal_code": "388627907",
            "telephone_number": "662-840-0196",
            "fax_number": "662-840-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN HEALTHCARE DEVELOPERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "662-321-1155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast MS Community Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rural Healthcare Developers
• Rural Healthcare Developers, Inc.
• Rural Mental Health
• Margaret E Seaman, CFNP
• Tri-Vista Rehab, Inc
• Mitchell Williams, FNP-C
• Vanessa Young

• Adult Mental Health Clinic/Center in Plantersville, MS
• Providers in Plantersville, MS by specialty
• Adult Mental Health Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.