AUTISM CENTER OF NORTH MISSISSIPPI, INC. (NPI# 1952662157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952662157 |
| Entity Type | Organization |
| Organization Name | AUTISM CENTER OF NORTH MISSISSIPPI, INC. |
| Practice Address |
146 S Thomas St Ste. C Tupelo MS 38801-5328 |
| Practice Telephone | 6628400974 |
| Mailing Telephone | 6628400974 |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2016-07-15 |
| Authorized Official Name | MRS. EMILEE KENNEDY (BILLING SPECIALIST) |
| Authorized Official Telephone | 6628400974 |
| Authorized Official Credential | B.A., RBT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
146 S THOMAS ST STE. C |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-5328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841226040 | Elderscript Services LLC | Pharmacy | 146 S Thomas St, Suite A, Tupelo, MS 38801-5328 | 2006-06-23 |
| 1790152429 | Bonnie Coley | Behavioral Analyst | 146 S Thomas St, Suite C, Tupelo, MS 38801 | 2015-08-28 |
| 1336516558 | Emilee Kennedy | Behavioral Analyst | 146 S Thomas St, Suite E, Tupelo, MS 38801-5328 | 2015-08-24 |
| 1588030365 | Ekaterina Elizabeth Evans | Behavioral Analyst | 146 S Thomas St, Tupelo, MS 38801-5328 | 2015-08-17 |
| 1689057788 | Jeffrey Ryan Oliver | Behavioral Analyst | 146 S Thomas St, Suite C, Tupelo, MS 38801-5328 | 2015-07-07 |
| 1508103102 | Sharon Dugas Boudreaux | Behavioral Analyst | 146 S Thomas St, Ste. E, Tupelo, MS 38801-5328 | 2013-01-16 |
| 1598002198 | Jessyi Bryant Reed | Behavioral Analyst | 146 S Thomas St, Suite C, Tupelo, MS 38801-5328 | 2013-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1295365922 | Changing Minds, LLC | Clinic/Center | 835 Highway 90 Ste 12, Bay St Louis, MS 39520-1607 | 2020-01-22 |
| 1366093791 | Region Ten State of Ms | Clinic/Center | 832 Highway 19 N Ste 510, Meridian, MS 39307-5876 | 2019-09-26 |
| 1194230789 | Mississippi Children's Home Society - Canopy Children's Solutions | Clinic/Center | 1513 Lakeland Dr Ste 200, Jackson, MS 39216-4861 | 2017-12-05 |
| 1568984292 | Ducere Investment Group Inc | Clinic/Center | 1312b Harrison Ave, Mccomb, MS 39648-2830 | 2017-07-14 |
| 1013141357 | Ideal Provider, LLC | Clinic/Center | 8869 Centre St # 3, Southaven, MS 38671-1725 | 2009-05-13 |
| 1003053034 | The Hope Center | Clinic/Center | 206 S 28th Ave, Hattiesburg, MS 39401-7154 | 2009-01-13 |
| 1710522842 | Transforming Minds Therapeutic Counseling Services, LLC | Clinic/Center | 253 Richmond Pointe Way, Richland, MS 39218-6601 | 2019-11-13 |
| 1376010934 | Pamela Giveans Np Pllc | Clinic/Center | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2018-10-31 |
| 1083980684 | Region Ten Commission On Mental Health | Clinic/Center | 1929 23rd Ave, Meridian, MS 39301-3108 | 2012-03-28 |
| 1003195967 | Psycamore, LLC | Clinic/Center | 2620 Executive Pl, Biloxi, MS 39531-3717 | 2011-08-10 |
| 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.