DELTA COMMUNITY MENTAL HEALTH SERVICES (NPI# 1942327515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942327515 |
| Entity Type | Organization |
| Organization Name | DELTA COMMUNITY MENTAL HEALTH SERVICES |
| Practice Address |
317 W Race St Rolling Fork MS 39159-2623 |
| Practice Telephone | 6628736228 |
| Practice Fax Number | 6628732244 |
| Mailing Telephone | 6628736228 |
| Mailing Fax Number | 6628732244 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GILBERT MACVAUGH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6623355274 |
| Authorized Official Credential | PSY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 16335 | MS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00018205 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184741100 | Delta Community Mental Health Services | Community/Behavioral Health | 113a S Davis Ave, Cleveland, MS 38732-3447 | 2007-03-23 |
| 1922344068 | Delta Community Mental Health Services | Community/Behavioral Health | 1654 E Union St, Greenville, MS 38703-3250 | 2012-12-18 |
| 1205011830 | Delta Community Mental Health Services | Community/Behavioral Health | 1654 E Union St, Greenville, MS 38703-3250 | 2008-01-02 |
| Street Address |
317 W RACE ST |
| City | ROLLING FORK |
| State | MS |
| Zip Code | 39159-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063690824 | Johnny Brown | Registered Nurse | 317 W Race St, Rolling Fork, MS 39159-2623 | 2008-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336517606 | Delta Health Center, Inc. | Clinic/Center | 20400 Highway 61, Rolling Fork, MS 39159 | 2015-09-03 |
| 1669513883 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 47 South Fourth Street, Rolling Fork, MS 39159 | 2007-02-09 |
| 1922056050 | Sharkey-issaquena Community Hospital | Skilled Nursing Facility | 431 West Race Street, Rolling Fork, MS 39159 | 2006-05-04 |
| 1326445057 | Mississippi Christian Family Services Inc. | Day Training, Developmentally Disabled Services | 314 Pine Street, Rolling Fork, MS 39159 | 2014-11-24 |
| 1215305909 | Mississippi Christian Family Services Inc | Day Training, Developmentally Disabled Services | 117 Delta St, Rolling Fork, MS 39159-2266 | 2015-09-11 |
| 1578973947 | Mississippi State Department of Health | Public Health or Welfare | 297 W Race St, Rolling Fork, MS 39159-2621 | 2014-05-06 |
| 1154848802 | Casey Cummins Perry | Pharmacist | 20917 Highway 61, Rolling Fork, MS 39159-5027 | 2017-08-24 |
| 1043242084 | Freds Stores of Tennessee Inc | Pharmacy | 20917 Highway 61 N, Rolling Fork, MS 39159-5027 | 2006-07-07 |
| 1508413592 | Rolling Fork Drug Co | Pharmacy | 20917 Highway 61, Rolling Fork, MS 39159-5027 | 2019-08-23 |
| 1538686795 | James Andrew Cheatham | Pharmacist | 20917 Highway 61, Rolling Fork, MS 39159-5027 | 2017-08-28 |
| Find all providers in zip 39159 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738618 | 360inc. | Community/Behavioral Health | 8547 Highway 178, Byhalia, MS 38611-9670 | 2020-10-18 |
| 1407469141 | Life Seasons Counseling, LLC | Community/Behavioral Health | 116 N Columbia St, Pontotoc, MS 38863-2002 | 2020-08-24 |
| 1255959888 | Empowering Minds Counseling and Consultant Services,llc | Community/Behavioral Health | 1114 Robinson St # A, Ocean Springs, MS 39564-3842 | 2020-07-09 |
| 1194349795 | Creative Sisters Counseling LLC | Community/Behavioral Health | 134 Fairmont St Ste C, Clinton, MS 39056-4739 | 2020-05-31 |
| 1386272094 | Mississippi Behavioral Health Care, LLC | Community/Behavioral Health | 1312 Harrison Ave Ste C, Mccomb, MS 39648-2805 | 2020-03-29 |
| 1538703053 | Quest Fitness | Community/Behavioral Health | 1693 Lakeover Rd, Jackson, MS 39213-8015 | 2019-10-29 |
| 1265080576 | Health Connect America, Inc | Community/Behavioral Health | 104 Highway 15 N, New Albany, MS 38652-5313 | 2019-08-29 |
| 1326502535 | V.k. Johnson, Lcsw & Consultants, LLC | Community/Behavioral Health | 2637 Ridgewood Rd Ste De, Jackson, MS 39216-4922 | 2019-01-22 |
| 1801362264 | Solution Journey Counseling, LLC | Community/Behavioral Health | 301 Humble Ave Ste 160, Hattiesburg, MS 39401-6343 | 2018-10-23 |
| 1316412646 | Delta Counseling Services LLC | Community/Behavioral Health | 103 S Court St Ste 116, Cleveland, MS 38732-2651 | 2018-10-13 |
| Find all providers with the same taxonomy | ||||
| City | ROLLING FORK |
| Zip Code | 39159 |
Please comment or provide details below to improve the information on DELTA COMMUNITY MENTAL HEALTH SERVICES.
| 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.