Singing River Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SINGING RIVER SERVICES

Practice address

3407 Shamrock CT
Gautier, MS 39553-5337

Phone

(228) 497-0690

Fax

(228) 497-7604

NPI assigned

Feb 19, 2015

Last updated

Feb 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sherman F Blackwell

Title

Executive Director

Phone

(228) 497-0690

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Singing River Mental Health Mental Retardation Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Singing River Mental Health Mental Retardation Services

  dba Singing River Services Region XIV

  • Clinic Pharmacy
  • Gautier, MS
  • NPI 1265837983
  NPD tax ID
• Singing River Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gautier, MS
  • NPI 1003189382
  NPD tax ID
• Singing River Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gautier, MS
  • NPI 1851407829
  NPD tax ID

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1932591518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 SHAMROCK CT",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535337",
            "telephone_number": "228-497-0690",
            "fax_number": "228-497-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 SHAMROCK CT",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535337",
            "telephone_number": "228-497-0690",
            "fax_number": "228-497-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINGING RIVER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "SHERMAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "228-497-0690",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018214",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770256",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Singing River Health System
• Singing River Hospital System (Gautier Internal Medicine Clinic)
• Singing River Mental Health Mental Retardation Services (Singing River Services Region XIV)
• Singing River Services
• Singing River Services
• Skin in the Game, PLLC (The Dermatology Clinic)
• Ashley Renee Smathers
• Breanna Jean Smith, BA
• Chelsey Nicole Smith
• Deborah Weaver Smith, BSW

• Community/Behavioral Health Agency in Gautier, MS
• Providers in Gautier, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.