Active NPI
Rebirth Mental Health Services, Inc
- Psychiatric/Mental Health Nurse Practitioner
- Slidell, LA
National Provider Identifier
1972113124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Slidell, LA
- NPI 1699650531
-
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1346553872
LA
-
- Clinical Social Worker
- Slidell, LA
- NPI 1346610755
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.