Region 8 MH/Mr Commission

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

R08-BMR-WAC-PREVOC-0 Issued in MS

Legal business name

REGION 8 MH/MR COMMISSION

Practice address

613 Marquette Road
Brandon, MS 39042

Phone

(601) 824-0342

Fax

(601) 824-0349

NPI assigned

Feb 11, 2010

Organization subpart

No

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

Authorized official

Name

Dave Van

Title

Executive Director

Phone

(601) 824-0342

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Region 8 Mental Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Region 8 Mental Health

  • Community/Behavioral Health Agency
  • Brandon, MS
  • NPI 1497131866
  NPD tax ID
• Region 8 MH Mr Commission Bridges

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brandon, MS
  • NPI 1376816900
  NPD tax ID

Locations

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1306178694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "address_2": "613 MARQUETTE ROAD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "39042",
            "telephone_number": "601-824-0342",
            "fax_number": "601-824-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 MARQUETTE ROAD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "39042",
            "telephone_number": "601-824-0342",
            "fax_number": "601-824-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION 8 MH/MR COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-824-0342"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MS",
            "license": "R08-BMR-WAC-PREVOC-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007700402",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Anthony Reed III, PHARMD
• Courtney Helen Reed, MSW
• Grace C Reeves, OT
• Region 8 Mental Health
• Region 8 MH Mr Commission Bridges
• Regional Home Care and Infusions, Inc.
• Emily Reid, COTA/L
• Reliable Healthcare Services
• Reliable Medical Equipment Inc.
• Meredith Renfrow, SLP

• Intellectual & Developmental Disabilities Psychologist in Brandon, MS
• Providers in Brandon, MS by specialty
• Intellectual & Developmental Disabilities Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.