Prism Mental Health, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PRISM MENTAL HEALTH, LLC

Practice address

1101 Robinson St
Ocean Springs, MS 39564-3841

Phone

(601) 283-8038

Fax

(228) 256-6075

NPI assigned

Mar 15, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Emily Baker

Title

Member LLC, Business Admin

Phone

(228) 860-6812

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 1

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

• Alvin Baker Jr.

  • Clinical Social Worker
  • Long Beach, MS
  • NPI 1598210882
  Medicare reassignment

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734739200000",
    "number": "1558062604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 ROBINSON ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643841",
            "telephone_number": "228-707-1101",
            "fax_number": "228-220-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 ROBINSON ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643841",
            "telephone_number": "601-283-8038",
            "fax_number": "228-256-6075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 Porter Avenue",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395303955",
            "country_code": "US",
            "telephone_number": "228-707-1101",
            "fax_number": "228-220-0655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRISM MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "MEMBER LLC, BUSINESS ADMIN",
        "authorized_official_telephone_number": "228-860-6812",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.