Organization Active NPI

Beyond Play Therapy Group, PLLC

  • Speech/Language/Hearing Specialist/Technologist
  • Ridgeland, MS
National Provider Identifier
1447301890
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X
License
PT1279 Issued in MS
Legal business name
BEYOND PLAY THERAPY GROUP, PLLC
Practice address
665 Highway 51 Ste C
Ridgeland, MS 39157-2136
Phone
(601) 605-5384
Fax
(601) 898-4761
NPI assigned
Jan 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Judy Lindsay, PTNPI 1164573523
Title
Owner
Phone
(601) 605-5384

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
Speech/Language/Hearing Specialist/Technologist 235500000X PT1279 MS Primary

Addresses

Primary practice location

665 Highway 51 Ste C
Ridgeland, MS 39157-2136

Mailing address

PO Box 13861
Jackson, MS 39236-3861
Phone (601) 605-5384

Other identifiers 1

IdentifierTypeStateIssuer
06081560MedicaidMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447301890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13861",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392363861",
            "telephone_number": "601-605-5384",
            "fax_number": "601-898-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 HIGHWAY 51 STE C",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572136",
            "telephone_number": "601-605-5384",
            "fax_number": "601-898-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND PLAY THERAPY GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINDSAY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-605-5384",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "MS",
            "license": "PT1279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06081560",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.