CLARENCE DONALD CASE JR. (NPI# 1134735723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134735723 |
Entity Type | Individual |
Full Name | CLARENCE DONALD CASE JR. |
Practice Address |
Pearl River Family and Behavioral Health Clinic 302 Hwy 11 S Poplarville MS 39470 |
Mailing Address |
Po Box 324 Poplarville MS 39470-0324 |
Practice Telephone | 6014038284 |
Mailing Telephone | 5017013076 |
Enumeration Date | 2020-09-18 |
Last Update Date | 2020-09-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861034019 | Clarence C Case | Behavior Technician | 85 South Street, Wells, VT 05774 | 2019-10-09 |
Street Address |
PEARL RIVER FAMILY AND BEHAVIORAL HEALTH CLINIC 302 HWY 11 S |
City | POPLARVILLE |
State | MS |
Zip Code | 39470 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285061895 | Freds Stores of Tennessee Inc | Pharmacy | 1388 South Main Street, Poplarville, MS 39470 | 2013-09-27 |
1972814127 | Grace Healthcare Dme | Durable Medical Equipment & Medical Supplies | 300 Highway 11, Suite D, Poplarville, MS 39470 | 2010-06-23 |
1881837128 | Cirila Reyes | Family Medicine | 1222 S Main Street, Poplarville Family Medical Clinic, Poplarville, MS 39470 | 2009-04-16 |
1003026717 | Forrest County General Hospital | General Acute Care Hospital | 305 W Moody St, Poplarville, MS 39470 | 2007-05-23 |
1053450320 | Pearl River County Hospital | General Acute Care Hospital | 305 West Moody Street, Poplarville, MS 39470 | 2007-02-05 |
1306983903 | Stone County Hospital, Inc. | Clinic/Center | 1222 S Main, Poplarville, MS 39470 | 2007-01-31 |
1669527503 | Kelvie Culpepper | Chiropractor | 859 Hwy 26 West, Poplarville, MS 39470 | 2007-01-23 |
1669575668 | Michael Frank De Marco | Podiatrist | 101 Lamar Smith Rd, Poplarville, MS 39470 | 2006-09-06 |
1831209477 | Ryan W Woods | Physical Therapist | 1403 South Main Street, Suite E, Poplarville, MS 39470 | 2006-08-30 |
1316336993 | Allison Sutton | Social Worker | 302 Highway 11 S, Poplarville, MS 39470 | 2015-01-20 |
Find all providers in zip 39470 |
Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831652452 | Compassion Counseling Services LLC | Psychologist | 105 Northgate Rd Ste F, Natchez, MS 39120-9162 | 2019-04-10 |
1770834152 | John Hancock Askew | Psychologist | 672 Southern Oaks Dr, Florence, MS 39073-9455 | 2012-09-26 |
1356548549 | Shirley A Wilson | Psychologist | 7160 Tchulahoma Rd # B, Ste 1, Southaven, MS 38671-9266 | 2007-06-29 |
1811014970 | Linda Washington | Psychologist | 712 Ashburn Rd, Greenville, MS 38703-6002 | 2007-03-23 |
1841273885 | Stephanie L Cooper | Psychologist | 1415 College Dr, Meridian, MS 39307-5345 | 2005-11-23 |
1922382258 | Simple Strokes Behavioral and Mental Health Group Inc | Psychologist | 83 Airways Pl, Southaven, MS 38671-5885 | 2011-10-05 |
1891084414 | Mississippi Center for Autism and Related Developmental Disabilities | Psychologist | 4061 Suzanne Dr, Suite C, Diberville, MS 39540-3735 | 2011-04-04 |
1487950564 | Southern Behavioral Medicine Associates Pllc | Psychologist | 1 Commerce Dr, Ste 106, Hattiesburg, MS 39402-1499 | 2011-02-07 |
1255458444 | Douglas Cole | Psychologist | 1654 E Union St, Greenville, MS 38703-3250 | 2007-03-23 |
1467505222 | Upa Pllc Ped Psychology | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2007-01-18 |
Find all providers with the same taxonomy |
City | POPLARVILLE |
Zip Code | 39470 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.