NPIMap

Organization Active NPI

Gulf Coast Mental Health Center

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Gulfport, MS
National Provider Identifier
1821591728
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
M8456 Issued in MS
Legal business name
GULF COAST MENTAL HEALTH CENTER
Practice address
1600 Broad Avenue
Gulfport, MS 39501-3603
Phone
(228) 869-1132
Fax
(228) 865-1700
NPI assigned
Mar 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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

Authorized official

Name
Mandy Jo McDonald
Title
Billing Supervisor
Phone
(228) 863-1132

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X M8456 MS Primary

Addresses

Primary practice location

1600 Broad Avenue
Gulfport, MS 39501-3603

Mailing address

1600 Broad Avenue
Gulfport, MS 39501-3603
Phone (228) 869-1132

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Mental Healt9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1821591728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BROAD AVENUE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395013603",
            "telephone_number": "228-869-1132",
            "fax_number": "228-865-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BROAD AVENUE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395013603",
            "telephone_number": "228-869-1132",
            "fax_number": "228-865-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "228-863-1132"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MS",
            "license": "M8456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.