Organization Active NPI

Midsouth Mental Health Services, Inc

  • Neurology Physician
  • Memphis, TN
National Provider Identifier
1700103876
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
38502 Issued in TN
Legal business name
MIDSOUTH MENTAL HEALTH SERVICES, INC
Practice address
530 Oak Court Dr
Suite 127
Memphis, TN 38117-3726
Phone
(901) 319-4942
Fax
(901) 729-2412
NPI assigned
Apr 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Dr. Michael S Seay, M.D./PH.D.
Title
President/Ceo
Phone
(901) 319-4942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 38502 TN Primary

Addresses

Primary practice location

530 Oak Court Dr
Suite 127
Memphis, TN 38117-3726

Mailing address

PO Box 30727
Memphis, TN 38130-0727
Phone (901) 319-4942

Other identifiers 1

IdentifierTypeStateIssuer
1516640MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100429000303 TN Part B Supplier - Clinic/Group Practice 4587791272 Receives reassigned benefits from 2 practitioners
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

530 Oak Court Dr
Ste 127
Memphis, TN 38117
Phone (901) 319-4942

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1700103876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30727",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381300727",
            "telephone_number": "901-319-4942",
            "fax_number": "901-729-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 OAK COURT DR",
            "address_2": "SUITE 127",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381173726",
            "telephone_number": "901-319-4942",
            "fax_number": "901-729-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH MENTAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "SEAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "901-319-4942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D./PH.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "38502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1516640",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.