Three Oaks Behavioral Health of Ridgeland, LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

DCS TOBHR PHA OP 01 Issued in MS

Legal business name

THREE OAKS BEHAVIORAL HEALTH OF RIDGELAND, LLC

Practice address

408 Fontaine PL
Suite 101
Ridgeland, MS 39157-5145

Phone

(601) 991-3080

Fax

(601) 991-0923

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James E. Lowery, CPA

Title

Managing Officer

Phone

(601) 991-3080

Specialties & licenses 1

Addresses

Tax ID family

Three Oaks Behavioral Health of Ridgeland LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Three Oaks Behavioral Health of Ridgeland, LLC

  • Psychiatric Hospital
  • Ridgeland, MS
  • NPI 1568671337
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gray Hilsman, MD

  • Psychiatry Physician
  • Ridgeland, MS
  • NPI 1164450755
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932251683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 FONTAINE PL",
            "address_2": "SUITE 101",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575145",
            "telephone_number": "601-991-3080",
            "fax_number": "601-991-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 FONTAINE PL",
            "address_2": "SUITE 101",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575145",
            "telephone_number": "601-991-3080",
            "fax_number": "601-991-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE OAKS BEHAVIORAL HEALTH OF RIDGELAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "601-991-3080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MS",
            "license": "DCS TOBHR PHA OP 01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Thompson
• Bevelynne Thornton, MS, LPC, NCC
• Mason Thornton, PT
• Nora Thrailkill
• Three Oaks Behavioral Health of Ridgeland, LLC
• Thyme to Heal Counseling & Wellness
• Hanna Le Tiep, DPT
• Brian C. Tieu, M.D., PH.D.
• Tiffany T Lovelady Counseling (Lovelady Counseling)
• Laura F Tilghman, PTA

• Psychiatric Hospital in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Psychiatric Hospital in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.