Organization Active NPI

Wellington Institute, Inc.

  • Community/Behavioral Health Agency
  • Jackson, MS
National Provider Identifier
1427477207
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WELLINGTON INSTITUTE, INC.
Practice address
5360 Executive PL
Building C
Jackson, MS 39206-4101
Phone
(601) 321-9849
Fax
(601) 321-9849
NPI assigned
Apr 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Dr. Gladys Dinkins Johnson, ED.D., NCP, BCPC,
Title
Presidnt
Phone
(601) 720-1671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5360 Executive PL
Building C
Jackson, MS 39206-4101

Mailing address

227 Rouser Rd
Ridgeland, MS 39157-5060
Phone (601) 853-3688

National Provider Directory

National Provider Directory

Locations

5360 Executive Pl
Bldg C
Jackson, MS 39206
Phone (601) 321-9849

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": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1427477207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 ROUSER RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575060",
            "telephone_number": "601-853-3688",
            "fax_number": "601-321-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 EXECUTIVE PL",
            "address_2": "BUILDING C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064101",
            "telephone_number": "601-321-9849",
            "fax_number": "601-321-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "DINKINS",
        "authorized_official_title_or_position": "PRESIDNT",
        "authorized_official_telephone_number": "601-720-1671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D., NCP, BCPC,"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.