Singing River Gulfport

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

SINGING RIVER GULFPORT

Doing business as

Singing River Gulfport Psychiatric Facility

Practice address

15200 Community Rd
Gulfport, MS 39503-3085

Phone

(228) 575-7000

NPI assigned

Jul 13, 2020

Last updated

Jul 13, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

SINGING RIVER HEALTH SYSTEMAs reported in NPPES

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

Authorized official

Name

Charlie Brinkley III

Title

Cfo

Phone

(228) 497-7597

Specialties & licenses 1

Addresses

Other names 1

• Singing River Gulfport Psychiatric Facility Doing business as

Part of

Singing River Hosp

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1801414115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 COMMUNITY RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033085",
            "telephone_number": "228-575-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINGING RIVER GULFPORT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SINGING RIVER HEALTH SYSTEM",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "BRINKLEY",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "228-497-7597",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Singing River Gulfport Psychiatric Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Singing River Gulfport (Singing River Gulfport ER Group)
• Singing River Gulfport
• Singing River Gulfport
• Singing River Gulfport
• Singing River Gulfport (Singing River Gulfport Anesthesia)
• Singing River Gulfport (Singing River Gulfport Ambulatory)
• Singing River Gulfport (The Pharmacy at Singing River Gulfport)
• Falon Rene Sisson, FNP (AANP)
• Krystal Lynn Sitthivong, CNP
• Sjturner PLLC

• Psychiatric Hospital Unit in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Psychiatric Hospital Unit in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.