Organization Active NPI

Rebirth Mental Health Services, Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Slidell, LA
National Provider Identifier
1972113124
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
REBIRTH MENTAL HEALTH SERVICES, INC
Practice address
202 Village Cir Ste 3
Slidell, LA 70458-5418
Phone
(985) 774-4989
Fax
(985) 288-5466
NPI assigned
Aug 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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

Authorized official

Name
Tiffany Farmer Vickers, PMHNP
Title
Pmhnp
Phone
(985) 774-4989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

202 Village Cir Ste 3
Slidell, LA 70458-5418

Mailing address

202 Village Cir Ste 3
Slidell, LA 70458-5418
Phone (985) 774-4989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200917000156 LA Part B Supplier - Clinic/Group Practice 9537587928 Receives reassigned benefits from 2 practitioners
Practice locations: Slidell, LA

National Provider Directory

National Provider Directory

Locations

1527 Gause Blvd
Slidell, LA 70458
Phone (504) 319-8940

202 Village Cir
Ste 3
Slidell, LA 70458
Phone (985) 774-4989

2116 Gause Blvd W
Ste E
Slidell, LA 70460

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768608000000",
    "number": "1972113124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 VILLAGE CIR STE 3",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585418",
            "telephone_number": "985-774-4989",
            "fax_number": "985-288-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 VILLAGE CIR STE 3",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585418",
            "telephone_number": "985-774-4989",
            "fax_number": "985-288-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBIRTH MENTAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "FARMER",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "985-774-4989",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.