Cognitive Development Center of Mississippi

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COGNITIVE DEVELOPMENT CENTER OF MISSISSIPPI

Practice address

1713 Clay St
Vicksburg, MS 39183-3048

Phone

(601) 883-1771

Fax

(601) 883-1773

NPI assigned

Jul 17, 2013

Last updated

Nov 21, 2013By 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

Adrian J Fisher, LPC

Title

Director

Phone

(318) 340-1535

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1265873350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 CLAY ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391833048",
            "telephone_number": "601-883-1771",
            "fax_number": "601-883-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 CLAY ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391833048",
            "telephone_number": "601-883-1771",
            "fax_number": "601-883-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE DEVELOPMENT CENTER OF MISSISSIPPI",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-340-1535",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindy Clifton
• Linda Coats
• Brooke F. Coffelt, PHARMD
• Deborah Cofrancesco, CCC-SLP
• Aviance Lasheena Cogg
• Alice Tiffany Cohea, LSW
• Kristy D Cole, OTR/L
• Roderick L Coleman, D.M.D.
• Collins Eye Clinic Inc
• C. Chris Collins, O. D.

• Community/Behavioral Health Agency in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.