NPIMap

Organization Active NPI

Region Ten State of Ms

  • Developmental Disabilities Clinic/Center
  • Meridian, MS
National Provider Identifier
1932602174
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
REGION TEN STATE OF MS
Practice address
1405 College Dr
Meridian, MS 39307-5345
Phone
(601) 483-4821
Fax
(601) 485-8727
NPI assigned
Mar 14, 2018
Organization subpart
Yes
Parent organization
REGION TEN STATE OF MSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Olivia Blount
Title
Cfo
Phone
(601) 483-4821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

1405 College Dr
Meridian, MS 39307-5345

Mailing address

1415 College Dr
Meridian, MS 39307-5345
Phone (601) 483-4821

Other names 1

  • Weems Community Mental Health Center IDD Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Weems Mental Health Ctr15 organizations share this tax ID, including this one
Part of
Weems Mental Health Ctr

Other organizations with this tax ID 14

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

View all 14

Locations

1405 College Dr
Meridian, MS 39307
Phone (601) 483-4821

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1932602174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 COLLEGE DR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393075345",
            "telephone_number": "601-483-4821",
            "fax_number": "601-485-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 COLLEGE DR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393075345",
            "telephone_number": "601-483-4821",
            "fax_number": "601-485-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION TEN STATE OF MS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGION TEN STATE OF MS",
        "enumeration_date": "2018-03-14",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "BLOUNT",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-483-4821"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weems Community Mental Health Center IDD Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.