NPIMap

Organization Active NPI

Warren- Yazoo Mental Health Service

  • Community/Behavioral Health Agency
  • Vicksburg, MS
National Provider Identifier
1710316617
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WARREN- YAZOO MENTAL HEALTH SERVICE
Practice address
3444 Wisconsin Ave
Vicksburg, MS 39180-5331
Phone
(601) 638-0031
Fax
(601) 638-1778
NPI assigned
Nov 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Mr. Birchel Bernard Washington
Title
Human Resources Director
Phone
(601) 638-0031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3444 Wisconsin Ave
Vicksburg, MS 39180-5331

Mailing address

3444 Wisconsin Ave
Vicksburg, MS 39180-5331
Phone (601) 638-0031

National Provider Directory

National Provider Directory
Tax ID family
Warren Yazoo Mental Health Service4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1710316617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 WISCONSIN AVE",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805331",
            "telephone_number": "601-638-0031",
            "fax_number": "601-638-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 WISCONSIN AVE",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805331",
            "telephone_number": "601-638-0031",
            "fax_number": "601-638-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN- YAZOO MENTAL HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "BIRCHEL",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "HUMAN RESOURCES DIRECTOR",
        "authorized_official_telephone_number": "601-638-0031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.