Organization Active NPI

Mse Behavioral & Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, MS
National Provider Identifier
1376254490
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MSE BEHAVIORAL & MENTAL HEALTH SERVICES
Practice address
2323 5TH St N
Columbus, MS 39705-2213
Phone
(662) 352-1115
NPI assigned
Dec 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Yvonne RobinsonNPI 1962074021
Title
Psych NP
Phone
(662) 352-1115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2323 5TH St N
Columbus, MS 39705-2213

Mailing address

2323 5TH St N
Columbus, MS 39705-2213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230613001236 MS Part B Supplier - Clinic/Group Practice 1658738299 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, MS

National Provider Directory

National Provider Directory

Locations

2323 5th St N
Columbus, MS 39705
Phone (662) 214-8331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1376254490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052213",
            "telephone_number": "662-352-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSE BEHAVIORAL & MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "PSYCH NP",
        "authorized_official_telephone_number": "662-352-1115"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.