Neuro Behavioral Treatment Systems, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NEURO BEHAVIORAL TREATMENT SYSTEMS, LLC

Practice address

357 Towne Center Blvd
Suite 400
Ridgeland, MS 39157-4870

Phone

(601) 899-5900

NPI assigned

Dec 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly P Ray, PHD

Title

Psychologist

Phone

(601) 899-5900

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TCLC MS Behavioral Clinic Doing business as

Locations

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1801078415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 TOWNE CENTER BLVD",
            "address_2": "SUITE 400",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574870",
            "telephone_number": "601-899-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 TOWNE CENTER BLVD",
            "address_2": "SUITE 400",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574870",
            "telephone_number": "601-899-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO BEHAVIORAL TREATMENT SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "601-899-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "36618",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119527",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TCLC MS Behavioral Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Ann Nelson, OT
• James D Nelson, P-LPC
• Jennifer D Nelson, PT
• Madyson Taylor Nelson
• Teresa Nelson, LCSW
• New Beginnings Farm and Family Therapy
• Melissa B Newman, OT
• Next Steps Pediatric Therapy LLC
• Nexus Therapy Management, LLC
• Tan H Nguyen

• Psychologist in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.