Organization Active NPI

Psychological Education Incorporated

  • Health Educator
  • Horn Lake, MS
National Provider Identifier
1689299646
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
PSYCHOLOGICAL EDUCATION INCORPORATED
Practice address
4611 Jonathan Dr
Horn Lake, MS 38637-8959
Phone
(302) 222-7235
NPI assigned
Jun 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Virginia Grace Piercy, MS, CHES
Title
Ceo
Phone
(901) 440-9423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

4611 Jonathan Dr
Horn Lake, MS 38637-8959

Mailing address

4611 Jonathan Dr
Horn Lake, MS 38637-8959
Phone (302) 222-7235

Other identifiers 1

IdentifierTypeStateIssuer
1214764OtherMSMS SECRETARY OF STATE

Other names 1

  • PsychEd Inc. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 2600:1702:3c20:2620:3d8a:a22e:1a6f:3b69 Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Psyched3 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.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1689299646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 JONATHAN DR",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386378959",
            "telephone_number": "302-222-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 JONATHAN DR",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386378959",
            "telephone_number": "302-222-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL EDUCATION INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "PIERCY",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-440-9423",
        "authorized_official_credential": "MS, CHES"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS SECRETARY OF STATE",
            "identifier": "1214764",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2600:1702:3c20:2620:3d8a:a22e:1a6f:3b69",
            "affiliation": "Y",
            "endpointDescription": "Business Computer System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4611 Jonathan Dr",
            "city": "Horn Lake",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386378959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PsychEd Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Horn Lake, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.