NPIMap

Organization Active NPI

Three Oaks Behavioral Health of Ridgeland, LLC

  • Psychiatric Hospital
  • Ridgeland, MS
National Provider Identifier
1568671337
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
DCS TOBHR PHA OP 01 Issued in MS
Legal business name
THREE OAKS BEHAVIORAL HEALTH OF RIDGELAND, LLC
Practice address
408 Fontaine Place
Suite 101
Ridgeland, MS 39157
Phone
(601) 991-3080
NPI assigned
May 21, 2007
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
James E. Lowery
Title
Managing Officer
Phone
(601) 991-3080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X DCS TOBHR PHA OP 01 MS Primary

Addresses

Primary practice location

408 Fontaine Place
Suite 101
Ridgeland, MS 39157

Mailing address

408 Fontaine Place
Suite 101
Ridgeland, MS 39157
Phone (601) 991-3080

National Provider Directory

National Provider Directory
Tax ID family
Three Oaks Behavioral Health of Ridgeland LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568671337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 FONTAINE PLACE",
            "address_2": "SUITE 101",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-991-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 FONTAINE PLACE",
            "address_2": "SUITE 101",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-991-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE OAKS BEHAVIORAL HEALTH OF RIDGELAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "601-991-3080"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MS",
            "license": "DCS TOBHR PHA OP 01",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.