Active NPI
Rehabilitation Centers, LLC
Doing business as Millcreek of Magee
- Child & Adolescent Psychiatry Physician
- Magee, MS
National Provider Identifier
1932290392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- REHABILITATION CENTERS, LLC
- Doing business as
- Millcreek of Magee
- Practice address
- 900 First Ave., N.E.
Magee, MS 39111 - Phone
- (601) 849-4221
- Fax
- (601) 849-7188
- NPI assigned
- Sep 28, 2006
- Last updated
- Jan 7, 2021
- 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
- Mr. Christopher Howard
- Title
- Vice President and Secretary
- Phone
- (615) 861-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MS | Primary |
Addresses
Primary practice location
900 First Ave., N.E.
Magee, MS 39111
Mailing address
6100 Tower Cir Ste 1000
Franklin, TN 37067-1509
Phone (615) 861-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08755013 | Medicaid | MS |
Other names 1
- Millcreek of Magee
National Provider Directory
National Provider Directory- Tax ID family
- Millcreek of Magee
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Millcreek of Pontotoc MYPAC
- Health Maintenance Organization
- Pontotoc, MS
- NPI 1538556311
-
dba Millcreek of Pontotoc
- Psychiatric Residential Treatment Facility
- Pontotoc, MS
- NPI 1255448775
-
dba Millcreek Rehabilitation Centers
- Developmentally Disabled Services Day Training Agency
- Magee, MS
- NPI 1275917544
-
dba Millcreek of Magee
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Magee, MS
- NPI 1306292149
-
dba Millcreek of Magee
- Psychiatric Residential Treatment Facility
- Magee, MS
- NPI 1487762076
-
dba Millcreek of Magee
- Intellectual Disabilities Intermediate Care Facility
- Magee, MS
- NPI 1699878157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609977600000",
"number": "1932290392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 TOWER CIR STE 1000",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370671509",
"telephone_number": "615-861-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 FIRST AVE., N.E.",
"city": "MAGEE",
"state": "MS",
"postal_code": "39111",
"telephone_number": "601-849-4221",
"fax_number": "601-849-7188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHABILITATION CENTERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
"authorized_official_telephone_number": "615-861-6000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08755013",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Millcreek of Magee",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Magee, MS
- Rehabilitation Centers, LLC (Millcreek of Magee)
- Rehabilitation Centers, LLC (Millcreek Rehabilitation Centers)
- Rehabilitation Centers, LLC (Millcreek of Magee)
- Rehabilitation Centers, LLC (Millcreek of Magee)
- Rehabilitation Centers, LLC (Millcreek of Magee)
- Rehabilitation Centers, LLC (Millcreek of Magee)
- Samantha Roberts
- Rudolph S Runnels Sr., M.D.
- Allison Rutland, PT
- Amber Sanders
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.