NPIMap

Organization Active NPI

Region IV Mental Health Services-Desoto Adults

  • Community/Behavioral Health Agency
  • Hernando, MS
National Provider Identifier
1821396706
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REGION IV MENTAL HEALTH SERVICES-DESOTO ADULTS
Practice address
2705 Highway 51 S
Hernando, MS 38632-2634
Phone
(662) 449-1971
Fax
(662) 449-1974
NPI assigned
Mar 2, 2011
Last updated
Mar 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Mr. Charlie Spearman Sr.
Title
Execuitive Director
Phone
(662) 286-9883

Specialties & licenses 1

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

Addresses

Primary practice location

2705 Highway 51 S
Hernando, MS 38632-2634

Mailing address

PO Box 839
Corinth, MS 38835-0839
Phone (662) 449-1971

National Provider Directory

National Provider Directory
Tax ID family
Region IV Mental HLTH Servs31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1821396706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 839",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388350839",
            "telephone_number": "662-449-1971",
            "fax_number": "662-449-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 HIGHWAY 51 S",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322634",
            "telephone_number": "662-449-1971",
            "fax_number": "662-449-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION IV MENTAL HEALTH SERVICES-DESOTO ADULTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "SPEARMAN",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "EXECUITIVE DIRECTOR",
        "authorized_official_telephone_number": "662-286-9883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hernando, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.