Organization Active NPI

Cornerstone Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Byram, MS
National Provider Identifier
1609327329
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
R875679 Issued in MS
Legal business name
CORNERSTONE MENTAL HEALTH SERVICES
Practice address
2104 Crossbridge Blvd
Byram, MS 39272-8716
Phone
(601) 487-8630
NPI assigned
Oct 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Teresa Hammaker
Title
Nurse Practitioner
Phone
(601) 942-1148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X R875679 MS Primary

Addresses

Primary practice location

2104 Crossbridge Blvd
Byram, MS 39272-8716

Mailing address

2104 Crossbridge Blvd
Byram, MS 39272-8716
Phone (601) 487-8630

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1609327329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 CROSSBRIDGE BLVD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728716",
            "telephone_number": "601-487-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 CROSSBRIDGE BLVD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728716",
            "telephone_number": "601-487-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "HAMMAKER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "601-942-1148"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MS",
            "license": "R875679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byram, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.