Organization Active NPI

Delta Community Mental Health

  • Case Management Agency
  • Greenville, MS
National Provider Identifier
1831206572
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
16335 Issued in MS
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

Updated by the provider on Sep 8, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00018205MedicaidMS

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.