NPIMap

Organization Active NPI

Riverview Behavior Health Services

  • Health Maintenance Organization
  • Vicksburg, MS
National Provider Identifier
1407284615
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
RIVERVIEW BEHAVIOR HEALTH SERVICES
Practice address
1905 Mission 66 # B
Vicksburg, MS 39180-3751
Phone
(601) 883-7000
NPI assigned
Oct 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Authorized official

Name
Ms. Michelle Johnson, LMFT
Title
Therapist
Phone
(601) 218-7041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

1905 Mission 66 # B
Vicksburg, MS 39180-3751

Mailing address

1905 Mission 66 # B
Vicksburg, MS 39180-3751
Phone (601) 883-7000

Other names 1

  • Michelle Johnson Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1407284615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 MISSION 66 # B",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803751",
            "telephone_number": "601-883-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 MISSION 66 # B",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803751",
            "telephone_number": "601-883-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW BEHAVIOR HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "601-218-7041",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelle Johnson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vicksburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.