NPIMap

Organization Active NPI

Brain Group and Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McComb, MS
National Provider Identifier
1609669365
Registry record updated Aug 8, 2025
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
BRAIN GROUP AND ASSOCIATES
Practice address
608 Delaware Ave
McComb, MS 39648-4025
Phone
(601) 324-3109
Fax
(601) 324-3105
NPI assigned
May 27, 2025
Last updated
Aug 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Mark McNeilNPI 1780050765
Title
Owner
Phone
(601) 376-6247

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

608 Delaware Ave
McComb, MS 39648-4025

Mailing address

608 Delaware Ave
McComb, MS 39648-4025
Phone (601) 324-3109

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250915000637 MS Part B Supplier - Clinic/Group Practice 7416450457 Receives reassigned benefits from 1 practitioner
Practice locations: McComb, MS

National Provider Directory

National Provider Directory

Locations

608 Delaware Ave
McComb, MS 39648
Phone (601) 324-3109

Practitioners & affiliated clinicians

Practitioners 9

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": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1609669365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 DELAWARE AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396484025",
            "telephone_number": "601-324-3109",
            "fax_number": "601-324-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 DELAWARE AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396484025",
            "telephone_number": "601-324-3109",
            "fax_number": "601-324-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN GROUP AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-376-6247"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.