Active NPI
Delta Community Mental Health
- Case Management Agency
- Greenville, MS
National Provider Identifier
1831206572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 16335
- Legal business name
- DELTA COMMUNITY MENTAL HEALTH
- Practice address
- 1654 E Union St
Greenville, MS 38703-3250 - Phone
- (662) 335-5274
- Fax
- (662) 378-3976
- NPI assigned
- Aug 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Doug Allen Cole
- Title
- Interim Director
- Phone
- (662) 335-5274
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 16335 | MS | Primary |
Addresses
Primary practice location
1654 E Union St
Greenville, MS 38703-3250
Mailing address
1654 E Union St
Greenville, MS 38703-3250
Phone (662) 335-5274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00018205 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
1654 E Union St
Greenville, MS 38703
Phone (662) 335-5274
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Whitfield, MS
- NPI 1356482459
-
- Cognitive & Behavioral Psychologist
- Greenville, MS
- NPI 1811014970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252368000000",
"number": "1831206572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1654 E UNION ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387033250",
"telephone_number": "662-335-5274",
"fax_number": "662-378-3976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1654 E UNION ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387033250",
"telephone_number": "662-335-5274",
"fax_number": "662-378-3976"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELTA COMMUNITY MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2009-09-08",
"status": "A",
"authorized_official_last_name": "COLE",
"authorized_official_first_name": "DOUG",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "INTERIM DIRECTOR",
"authorized_official_telephone_number": "662-335-5274",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "MS",
"license": "16335",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00018205",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MS
- Veronica Winters Deering
- Kristin Delahoussaye, FNP-BC
- Delta Area Hospice Care Limited
- Delta Asthma & Allergy
- Delta Chiropractic, Inc.
- Delta Community Mental Health Services
- Delta Community Mental Health Services
- Delta Critical Care & Lung Consultants P.C.
- Delta Emergency Group LLC
- Delta Family Medical Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.