NPIMap

Organization Active NPI

Region Ten State of Ms

  • Adolescent and Children Mental Health Clinic/Center
  • Meridian, MS
National Provider Identifier
1366093791
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
REGION TEN STATE OF MS
Practice address
832 Highway 19 N Ste 510
Meridian, MS 39307-5876
Phone
(601) 483-4821
Fax
(601) 485-8727
NPI assigned
Sep 26, 2019
Organization subpart
Yes
Parent organization
REGION TEN STATE OF MSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Lori Walton
Title
Cfo
Phone
(601) 483-4821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

832 Highway 19 N Ste 510
Meridian, MS 39307-5876

Mailing address

Weems CMHC
1415 College Drive
Meridian, MS 39307
Phone (601) 483-4821

Other names 1

  • Region 10 MYPAC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Meridian

National Provider Directory

National Provider Directory
Tax ID family
Weems Mental Health Ctr15 organizations share this tax ID, including this one
Part of
Weems Mental Health Ctr

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1366093791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WEEMS CMHC",
            "address_2": "1415 COLLEGE DRIVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39307",
            "telephone_number": "601-483-4821",
            "fax_number": "601-485-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 HIGHWAY 19 N STE 510",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393075876",
            "telephone_number": "601-483-4821",
            "fax_number": "601-485-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION TEN STATE OF MS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGION TEN STATE OF MS",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-483-4821"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Meridian",
            "affiliation": "N",
            "address_1": "832 Highway 19 N Ste 510",
            "city": "Meridian",
            "state": "MS",
            "country_code": "US",
            "postal_code": "393075876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Region 10 MYPAC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.