PB Mississippi Health Services, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PB MISSISSIPPI HEALTH SERVICES, LLC

Practice address

3949 Highway 43 N
Brandon, MS 39047-7240

Phone

(601) 829-2500

NPI assigned

Jul 27, 2018

Organization subpart

No

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

Authorized official

Name

Benjamin Klein

Title

President

Phone

(847) 329-4100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1306323720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 LONG AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773214",
            "telephone_number": "847-329-4100",
            "fax_number": "847-329-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 HIGHWAY 43 N",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477240",
            "telephone_number": "601-829-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PB MISSISSIPPI HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-329-4100"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Patterson, FNP
• Ann D Patterson, MD
• Mike V. Patti, LPC
• Kimberley J Paul, LCSW
• Constance Wheatley Payne, PHARMD
• Lauren Callie Peace
• Peak Therapy LLC
• Pendleton Counseling Center
• Kayla Roseanna Pendleton
• Linda Faye Pendleton, LCSW

• Substance Abuse Rehabilitation Facility in Brandon, MS
• Providers in Brandon, MS by specialty
• Substance Abuse Rehabilitation Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.