NPIMap

Organization Active NPI

Gulf Coast Mental Health Center

  • Community/Behavioral Health Agency
  • Gulfport, MS
National Provider Identifier
1962995860
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
M8723 Issued in MS
Legal business name
GULF COAST MENTAL HEALTH CENTER
Practice address
15094 County Barn Road
Gulfport, MS 39503
Phone
(228) 863-0091
Fax
(228) 864-2241
NPI assigned
Jun 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Authorized official

Name
Mandy McDonald
Title
Billing Manager
Phone
(228) 863-1132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X M8723 MS Primary

Addresses

Primary practice location

15094 County Barn Road
Gulfport, MS 39503

Mailing address

1600 Broad Ave
Gulfport, MS 39501-3603
Phone (228) 863-1132

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Mental Healt9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

15094 County Barn Rd
Gulfport, MS 39503
Phone (228) 213-5909

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1962995860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BROAD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395013603",
            "telephone_number": "228-863-1132",
            "fax_number": "228-865-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15094 COUNTY BARN ROAD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39503",
            "telephone_number": "228-863-0091",
            "fax_number": "228-864-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "228-863-1132"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MS",
            "license": "M8723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.