MSHN Enterprises LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MSHN ENTERPRISES LLC

Practice address

2056 Fletcher Creek Dr Ste 101
Memphis, TN 38133-7060

Phone

(901) 410-9062

NPI assigned

Jan 13, 2020

Organization subpart

No

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

Authorized official

Name

Christopher Glenn Stephenson

Title

Cio

Phone

(901) 410-9062

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 3

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

• Susan G. Bell, L.C.S.W.

  • Clinical Social Worker
  • Memphis, TN
  • NPI 1649304726

  TN

  Medicare reassignment NPD
• John C Bomar Jr., MD

  • Psychiatry Physician
  • Cumberland Furnace, TN
  • NPI 1922029586

  TN

  Medicare reassignment NPD
• Joshua L. Carmack, APN

  • Family Nurse Practitioner
  • Vonore, TN
  • NPI 1013613942

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1467092932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 FLETCHER CREEK DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381337059",
            "telephone_number": "901-825-8972",
            "fax_number": "901-729-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2056 FLETCHER CREEK DR STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381337060",
            "telephone_number": "901-410-9062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2057 Fletcher Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381337059",
            "country_code": "US",
            "telephone_number": "901-410-9062",
            "fax_number": "901-729-6169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MSHN ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "CIO",
        "authorized_official_telephone_number": "901-410-9062"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7544",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDMHS",
            "identifier": "I000000031865",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Kay Moyers, RN
• Natasha Mroczek, PSY.D.
• Henry Joel Mroczkowski, MD, PHD
• Mroz Baier Breast Care Clinic, PC
• Christine T Mroz, MD
• MSK Group, PC
• MSK Group, PC
• MSK Group, PC
• MSK Group, PC
• MTG Financial Services and Assoc.

• Community/Behavioral Health Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.