Active NPI
Family Focus
- Community/Behavioral Health Agency
- Gautier, MS
National Provider Identifier
1952548059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- C2571
- Legal business name
- FAMILY FOCUS
- Practice address
- 1408 Highway 90
Suite 2
Gautier, MS 39553-5456 - Phone
- (228) 497-8180
- Fax
- (228) 497-6594
- NPI assigned
- Jan 12, 2009
- 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
- Ms. Ellen L Malone, LISW, LCSW, ACSW
- Title
- Ower/Sole MBR
- Phone
- (228) 497-8180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | C2571 | MS | Primary |
Addresses
Primary practice location
1408 Highway 90
Suite 2
Gautier, MS 39553-5456
Mailing address
PO Box 1512
Gautier, MS 39553-0019
Phone (228) 497-8180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07933592 | Medicaid | MS |
Other names 1
- Ellen L Malone Sole MBR
National Provider Directory
National Provider DirectoryLocations
1408 Highway 90
Ste 2
Gautier, MS 39553
Phone (228) 497-6057
2201 Highway 90
#A
Gautier, MS 39553
Phone (228) 497-8180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314576000000",
"number": "1952548059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1512",
"city": "GAUTIER",
"state": "MS",
"postal_code": "395530019",
"telephone_number": "228-497-8180",
"fax_number": "228-497-6594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 HIGHWAY 90",
"address_2": "SUITE 2",
"city": "GAUTIER",
"state": "MS",
"postal_code": "395535456",
"telephone_number": "228-497-8180",
"fax_number": "228-497-6594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY FOCUS",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-12",
"last_updated": "2011-08-29",
"status": "A",
"authorized_official_last_name": "MALONE",
"authorized_official_first_name": "ELLEN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWER/SOLE MBR",
"authorized_official_telephone_number": "228-497-8180",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LISW, LCSW, ACSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MS",
"license": "C2571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07933592",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ellen L Malone Sole MBR",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gautier, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.