MIDSOUTH MENTAL HEALTH SERVICES, INC (NPI# 1700103876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700103876 |
| Entity Type | Organization |
| Organization Name | MIDSOUTH MENTAL HEALTH SERVICES, INC |
| Practice Address |
530 Oak Court Dr Suite 127 Memphis TN 38117-3726 |
| Mailing Address |
Po Box 30727 Memphis TN 38130-0727 |
| Practice Telephone | 9013194942 |
| Practice Fax Number | 9017292412 |
| Mailing Telephone | 9013194942 |
| Mailing Fax Number | 9017292412 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2013-11-05 |
| Authorized Official Name | DR. MICHAEL S SEAY (PRESIDENT/CEO) |
| Authorized Official Telephone | 9013194942 |
| Authorized Official Credential | M.D./PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
38502 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1516640 | 05 |
| Street Address |
530 OAK COURT DR SUITE 127 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38117-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194824771 | Michael Bruce Seay | Psychiatry & Neurology | 530 Oak Court Dr, Suite127, Memphis, TN 38117-3726 | 2006-09-21 |
| 1649642653 | Andrew Morgan | Registered Nurse | 530 Oak Court Dr, Suite #125, Memphis, TN 38117-3726 | 2015-10-29 |
| 1003098997 | Ageless Men's Health, LLC | Clinical Medical Laboratory | 530 Oak Court Dr, Suite 125, Memphis, TN 38117-3726 | 2007-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
| 1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
| 1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| Find all providers in zip 38117 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861873846 | Rashi Krishnan | Psychiatry & Neurology | 1265 Union Avenue Dept of Neurology, Memphis, TN 38104 | 2015-06-15 |
| 1164841326 | Beth Anne Cavanaugh | Psychiatry & Neurology | 848 Adams Ave Ste 400l, Memphis, TN 38103-2816 | 2014-04-15 |
| 1417108796 | London Corporaton | Psychiatry & Neurology | 23 South Pauline Street, Suite 709, Memphis, TN 38104-3121 | 2008-10-06 |
| 1740459817 | Adrain B. Blotner Md PC | Psychiatry & Neurology | 6401 Poplar Ave Ste 316, Memphis, TN 38119-4806 | 2008-02-22 |
| 1003005885 | James H Jaster | Psychiatry & Neurology | 23 South Pauline Street, Suite 709, Memphis, TN 38104-3121 | 2007-10-17 |
| 1164634978 | Monisha Dutta | Psychiatry & Neurology | 880 Madison Avenue, Memphis, TN 38103-3409 | 2007-05-04 |
| 1891911954 | Rada Petrinjac-nenadic | Psychiatry & Neurology | 5100 Sanderlin Ave, Suite 2100, Memphis, TN 38117-4387 | 2007-04-17 |
| 1306994611 | Charles Hughes Hubbert | Psychiatry & Neurology | Memphis Va Hospital, Dept. Neurology, 1030 Jefferson Avenue, Memphis, TN 38104 | 2007-01-05 |
| 1881775799 | Butler Neurology PC | Psychiatry & Neurology | 1264 Wesley Drive, Suite 209, Memphis, TN 38116 | 2006-10-18 |
| 1477660306 | Marc David Malkoff | Psychiatry & Neurology | 855 Monroe Ave, Suite 415 Link Building, Memphis, TN 38103-4901 | 2006-08-24 |
| Find all providers in MEMPHIS | ||||
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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.