Center for Integrated Behavioral Innovations, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CENTER FOR INTEGRATED BEHAVIORAL INNOVATIONS, LLC

Practice address

1000 Highland Colony Pkwy
Building 5000, Suite 5203
Ridgeland, MS 39157-2073

Phone

(601) 427-2732

Fax

(601) 427-4801

NPI assigned

Oct 7, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Goodman

Title

Owner

Phone

(601) 427-4732

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1821469503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGHLAND COLONY PKWY",
            "address_2": "BUILDING 5000, SUITE 5203",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572073",
            "telephone_number": "601-427-2732",
            "fax_number": "601-427-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHLAND COLONY PKWY",
            "address_2": "BUILDING 5000, SUITE 5203",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572073",
            "telephone_number": "601-427-2732",
            "fax_number": "601-427-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INTEGRATED BEHAVIORAL INNOVATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-427-4732",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Joseph Caskey, D. M.D.
• Curtis Patrick Caskey, D.M.D.
• Cass L. Clements, O.D., LLC
• Tavia McNair Cavett, M.S.W, L.C.S.W, CEAP
• Stephen P Cayer, OTR/L
• Heather Daniella Chadwick, SLP
• Dominique Roch Chagnon, DC
• Angela Chambers
• Sarah Ann Chancelor, LPTA
• Chapl Behavioral Therapy LLC

• Community/Behavioral Health Agency in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.