Midsouth Behavior Clinic

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MIDSOUTH BEHAVIOR CLINIC

Practice address

12482 Magnolia Bend Dr
Arlington, TN 38002-7046

Phone

(901) 497-0384

Fax

(866) 823-6014

NPI assigned

Oct 6, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Ellis McCord, M.S., BCBANPI 1285815274

Title

Behavior Analyst

Phone

(901) 497-0384

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Brandon Elllis McCord, M.S., BCBA

  • Behavior Analyst
  • Bartlett, TN
  • NPI 1285815274
  NPD (past) Authorized official

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1750751434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12482 MAGNOLIA BEND DR",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380027046",
            "telephone_number": "901-497-0384",
            "fax_number": "866-823-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12482 MAGNOLIA BEND DR",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380027046",
            "telephone_number": "901-497-0384",
            "fax_number": "866-823-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH BEHAVIOR CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "MCCORD",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "901-497-0384",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2500733",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryce F McCreary, D.D.S
• Andrew Douglas Mefford, DMD
• Lashelle Renee Melton, PMHNP-BC
• Memphis Dental Studio PLLC
• Thomas Russell Middleton, PT, DPT
• Cassandra Miller
• Rachael Miller, M.S., CCC-SLP
• Victoria Taylor Milligan, PA-C
• Karlie Minor, RPH
• Mom'S Valet Dash, LLC

• Community/Behavioral Health Agency in Arlington, TN
• Providers in Arlington, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.