Active NPI
Psychological Education Incorporated
- Health Educator
- Horn Lake, MS
National Provider Identifier
1689299646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1214764 | Other | MS | MS SECRETARY OF STATE |
Other names 1
- PsychEd Inc.
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 2600:1702:3c20:2620:3d8a:a22e:1a6f:3b69 | Health Information Exchange (HIE) |
National Provider Directory
National Provider Directory- Tax ID family
- Psyched
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Professional Counselor
- Horn Lake, MS
- NPI 1033734231
-
- Addiction (Substance Use Disorder) Counselor
- Horn Lake, MS
- NPI 1205451267
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.