Organization Active NPI

Sycamore Psychiatry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Senatobia, MS
National Provider Identifier
1467225953
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SYCAMORE PSYCHIATRY
Practice address
110 Court St Ste a
Senatobia, MS 38668-2635
Phone
(662) 301-8683
Fax
(662) 301-8684
NPI assigned
Nov 6, 2023
Last updated
Nov 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Melissa Parrish, PMHNP-BCNPI 1285264879
Title
Nurse Practitioner/Owner
Phone
(662) 301-8683

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

110 Court St Ste a
Senatobia, MS 38668-2635

Mailing address

110 Court St Ste a
Senatobia, MS 38668-2635
Phone (662) 301-8683

Other names 1

  • Sycamore Psychiatry Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231102000185 MS Part B Supplier - Clinic/Group Practice 7911353545 Receives reassigned benefits from 1 practitioner
Practice locations: Senatobia, MS

National Provider Directory

National Provider Directory

Locations

110 Court St
Ste A
Senatobia, MS 38668
Phone (662) 301-8683

222 E Main St
Senatobia, MS 38668
Phone (662) 301-8683

Practitioners & affiliated clinicians

Practitioners 2

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": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1467225953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COURT ST STE A",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682635",
            "telephone_number": "662-301-8683",
            "fax_number": "662-301-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COURT ST STE A",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682635",
            "telephone_number": "662-301-8683",
            "fax_number": "662-301-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "662-301-8683",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sycamore Psychiatry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Senatobia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.