MILLCREEK EPSDT (NPI# 1932290392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932290392 |
| Entity Type | Organization |
| Organization Name | MILLCREEK EPSDT |
| Practice Address |
900 First Ave., N.e. Magee MS 39111 |
| Mailing Address |
P.o. Box 1160 Magee MS 39111 |
| Practice Telephone | 6018494221 |
| Practice Fax Number | 6018497188 |
| Mailing Telephone | 6018494221 |
| Mailing Fax Number | 6018497188 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LISA B. HILTON (ADMINISTRATOR) |
| Authorized Official Telephone | 6018494221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08755013 | 05 |
| Street Address |
900 FIRST AVE., N.E. |
| City | MAGEE |
| State | MS |
| Zip Code | 39111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033201157 | Millcreek Hcbs | Respite Care | 900 First Ave., N.e., Magee, MS 39111 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235669136 | Maxem Health Urgent Care Magee | Clinic/Center | 1529 Highway 49 S, Suite A, Magee, MS 39111 | 2017-06-14 |
| 1427409200 | Ashley Bounds | Specialist/Technologist | 499 Pinewood Dr., Magee, MS 39111 | 2016-06-23 |
| 1053707083 | Dental Group of Magee Pllc | Dentist | 1667 Highway 49s Ste 6, Magee, MS 39111 | 2015-04-07 |
| 1528387859 | Brandi's Hope Community Services | In Home Supportive Care | 720b 3rd Ave Sw, Magee, MS 39111 | 2010-05-26 |
| 1801128129 | Family Dental Care | Dentist | 203 Main Ave N, Magee, MS 39111 | 2010-02-11 |
| 1033342688 | Family Health Care Clinic, Inc. | Clinic/Center | 820 Johnson Lockhart Drive North East, Magee, MS 39111 | 2009-08-31 |
| 1043403124 | Charlene William Jones-smith | Speech-Language Pathologist | 193 Colonial Circle, Magee, MS 39111 | 2007-08-22 |
| 1326254301 | Envision Eye Care, Inc | Optometrist | 1625 Simpson Hwy 49, Magee, MS 39111 | 2007-05-15 |
| 1487878054 | Jack R Magee Jr. | Dentist | 1425 Simpson Highway 49, Magee, MS 39111 | 2007-04-12 |
| 1104945096 | Magee Benevolent Association | Pediatrics | 310 2nd Se St, Magee, MS 39111 | 2007-03-29 |
| Find all providers in zip 39111 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649466954 | Nazmul Talukdar | Psychiatry & Neurology | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2007-09-20 |
| 1932321742 | Otis Anderson IIi | Psychiatry & Neurology | 5185 Getwell Rd, Southaven, MS 38671-9691 | 2007-05-02 |
| 1770609364 | Gerri L Hill Chance | Psychiatry & Neurology | 206 Robert Mcdaniel Drive, Hazelhurst, MS 39083 | 2007-03-22 |
| 1841337656 | Cynthia Lufkin Undesser | Psychiatry & Neurology | 402 Wesley Ave, Jackson, MS 39202-1000 | 2007-01-31 |
| 1639620560 | North Plantation | Psychiatry & Neurology | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-15 |
| 1023363173 | Kelechi Nnamdi Emereonye | Psychiatry & Neurology | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2012-07-16 |
| 1710175260 | Clinical Neuroscience Group, Pllc | Psychiatry & Neurology | 3531 Lakeland Dr, Suite 1058, Flowood, MS 39232-8049 | 2007-10-10 |
| 1992906598 | Maecenas Inc | Psychiatry & Neurology | 206 Robert Mcdaniel Drive, Hazlehurst, MS 39083-0146 | 2007-05-30 |
| 1154477453 | Anthony Wade Jackson Sr. | Psychiatry & Neurology | 152 Highway 7 S, Oxford, MS 38655-5392 | 2007-01-27 |
| 1073684940 | Timothy Summers | Psychiatry & Neurology | 1818 College Drive, Meridian, MS 39307-5429 | 2006-11-13 |
| Find all providers with the same taxonomy | ||||
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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.