Organization Active NPI

NN Horton PHD MHP LLC

  • Psychologist
  • Ridgeland, MS
National Provider Identifier
1851952980
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
NN HORTON PHD MHP LLC
Practice address
210 W Jackson St
Ridgeland, MS 39157-2312
Phone
(601) 672-3841
Fax
(601) 707-7291
NPI assigned
Jun 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Authorized official

Name
Nancy N Horton, PHDNPI 1144439811
Title
Owner
Phone
(601) 672-3841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

210 W Jackson St
Ridgeland, MS 39157-2312

Mailing address

210 W Jackson St
Ridgeland, MS 39157-2312
Phone (601) 672-3841

Other identifiers 1

IdentifierTypeStateIssuer
1144439811OtherMSBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL therapynotes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190916002904 MS Part B Supplier - Clinic/Group Practice 9739418732 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, MS

National Provider Directory

National Provider Directory

Locations

118 Depot Dr
Madison, MS 39110
Phone (601) 672-3841

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1851952980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W JACKSON ST",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572312",
            "telephone_number": "601-672-3841",
            "fax_number": "601-707-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W JACKSON ST",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572312",
            "telephone_number": "601-672-3841",
            "fax_number": "601-707-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NN HORTON PHD MHP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-672-3841",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1144439811",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "therapynotes",
            "affiliation": "N",
            "endpointDescription": "therapynotes",
            "address_1": "210 W Jackson St",
            "city": "Ridgeland",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391572312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.