Active NPI
One Solution Cerebral Wellness
- Addiction Medicine (Internal Medicine) Physician
- Diberville, MS
National Provider Identifier
1235999681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- Legal business name
- ONE SOLUTION CEREBRAL WELLNESS
- Practice address
- 4063 Ginger Dr Ste D
Diberville, MS 39540-3705 - Phone
- (234) 239-5999
- Fax
- (234) 206-2761
- NPI assigned
- Mar 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Todd J Hasson
- Title
- Revenue Cycle Manager
- Phone
- (234) 239-5999
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | |||
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | Primary |
Addresses
Primary practice location
4063 Ginger Dr Ste D
Diberville, MS 39540-3705
Mailing address
4063 Ginger Dr Ste D
Diberville, MS 39540-3705
Phone (234) 239-5999
National Provider Directory
National Provider DirectoryLocations
13181 Reece Bergeron Rd
Biloxi, MS 39532
Phone (228) 707-1650
4063 Ginger Dr
Ste D
Diberville, MS 39540
Phone (228) 707-1650
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Medicine (Internal Medicine) Physician
- Riviera Beach, FL
- NPI 1396087698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731456000000",
"number": "1235999681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4063 GINGER DR STE D",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395403705",
"telephone_number": "234-239-5999",
"fax_number": "234-206-2761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4063 GINGER DR STE D",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395403705",
"telephone_number": "234-239-5999",
"fax_number": "234-206-2761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONE SOLUTION CEREBRAL WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-21",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "HASSON",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
"authorized_official_telephone_number": "234-239-5999",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Diberville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.