NPIMap

Organization Active NPI

Garden Park

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwood, MS
National Provider Identifier
1932437209
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GARDEN PARK
Practice address
2504 Browning Road
Greenwood, MS 38935-1505
Phone
(662) 453-6211
Fax
(662) 455-8724
NPI assigned
Nov 25, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Madolyn Smith
Title
Executive Director
Phone
(662) 453-6211

Corporate family (same tax ID) 5

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

Practitioners 60

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

View all 60

National Provider Directory

National Provider Directory
Tax ID family
Region VI Mental Health (6 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MS Primary

Addresses

NPPES NPI Registry

Primary practice location

2504 Browning Road
Greenwood, MS 38935-1505

Mailing address

PO Box 1505
Greenwood, MS 38935-1505
Phone (662) 453-6211

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00770409MedicaidMS

Other names 1

NPPES NPI Registry
  • Region VI Mental Health/Mental Retardation Commission Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 25, 2009.

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1932437209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1505",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389351505",
            "telephone_number": "662-453-6211",
            "fax_number": "662-455-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 BROWNING ROAD",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389351505",
            "telephone_number": "662-453-6211",
            "fax_number": "662-455-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MADOLYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "662-453-6211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770409",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Region VI Mental Health/Mental Retardation Commission",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.