Organization Active NPI

Region 8 Mental Health

  • Community/Behavioral Health Agency
  • Brandon, MS
National Provider Identifier
1497131866
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REGION 8 MENTAL HEALTH
Practice address
600 Marquette Rd
Brandon, MS 39042-3037
Phone
(601) 824-0342
Fax
(601) 824-0349
NPI assigned
Aug 7, 2015
Last updated
Jun 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Dr. Scott Sumrall, SCD
Title
Idds Administrator
Phone
(601) 824-0342

Specialties & licenses 1

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

Addresses

Primary practice location

600 Marquette Rd
Brandon, MS 39042-3037

Mailing address

PO Box 88
Brandon, MS 39043-0088
Phone (601) 824-0342

Other identifiers 1

IdentifierTypeStateIssuer
103TM1800XMedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Region 8 Mental Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

600 Marquette Rd
Brandon, MS 39042
Phone (601) 824-7851

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1497131866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390430088",
            "telephone_number": "601-824-0342",
            "fax_number": "601-824-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MARQUETTE RD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423037",
            "telephone_number": "601-824-0342",
            "fax_number": "601-824-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION 8 MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "SUMRALL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "IDDS ADMINISTRATOR",
        "authorized_official_telephone_number": "601-824-0342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "SCD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103TM1800X",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.