REGION 8 MH/MR COMMISSION (NPI# 1306178694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306178694 |
| Entity Type | Organization |
| Organization Name | REGION 8 MH/MR COMMISSION |
| Practice Address |
613 Marquette Road Brandon MS 39042 |
| Mailing Address |
Po Box 88 613 Marquette Road Brandon MS 39042 |
| Practice Telephone | 6018240342 |
| Practice Fax Number | 6018240349 |
| Mailing Telephone | 6018240342 |
| Mailing Fax Number | 6018240349 |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2010-02-11 |
| Authorized Official Name | DAVE VAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6018240342 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
R08-BMR-WAC-PREV | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 007700402 | 05 |
| Street Address |
613 MARQUETTE ROAD |
| City | BRANDON |
| State | MS |
| Zip Code | 39042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063428761 | Madison Rankin Simpson Mental Health | Clinic/Center | 613 Marquette Road, Brandon, MS 39042 | 2006-08-01 |
| 1174894463 | Nena M Merrite Williams | Marriage & Family Therapist | 613 Marquette Road, Brandon, MS 39042-0088 | 2012-01-19 |
| 1851464598 | Amy L Garner | Social Worker | 613 Marquette Road, Brandon, MS 39042 | 2006-11-17 |
| 1770670283 | Jennifer W Lemoine | Counselor | 613 Marquette Road, Brandon, MS 39042 | 2006-10-06 |
| 1942397468 | Misty M Westbrook | Counselor | 613 Marquette Road, Brandon, MS 39042 | 2006-10-06 |
| 1619984382 | Stanley C Russell | Psychiatry & Neurology | 613 Marquette Road, Brandon, MS 39042 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| Find all providers in zip 39042 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669973640 | Tanya Delanie Samuels | Psychologist | 502 Camino Real Ct Apt A, Brandon, FL 33510-3704 | 2018-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598127771 | Gulf Coast Mental Health Center | Psychologist | 1110 42nd Ave, Gulfport, MS 39501-2663 | 2016-03-25 |
| 1417934175 | Gulf Coast Mental Health Center | Psychologist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2005-12-23 |
| 1861715773 | Gulf Coast Mental Health Center | Psychologist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2010-03-05 |
| 1326138025 | Aleshia Moffett | Psychologist | 3407 Shamrock Court, Gautier, MS 39553 | 2006-10-13 |
| 1952491664 | Rosemary M Bishop | Psychologist | 57 Industrial Park Road, Lucedale, MS 39452 | 2006-10-13 |
Please comment or provide details below to improve the information on REGION 8 MH/MR COMMISSION.
| 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.