UNIVERSITY OF MISSISSIPPI


Address: G382 Kinard Hall, University, MS 38677
Phone: 6629157385

UNIVERSITY OF MISSISSIPPI (NPI# 1962618223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962618223
Entity Type Organization
Organization Name UNIVERSITY OF MISSISSIPPI
Other Organization Name PSYCHOLOGICAL SERVICES CENTER
Practice Address G382 Kinard Hall
University
MS 38677
Practice Telephone 6629157385
Practice Fax Number 6629151396
Mailing Telephone 6629157385
Mailing Fax Number 6629151396
Enumeration Date 2007-05-15
Last Update Date 2010-07-29
Authorized Official Name DR. SCOTT A GUSTAFSON (DIRECTOR)
Authorized Official Telephone 6629155272
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
Psychological Services Center Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1962798439 University of Mississippi Clinic/Center 1848 University Circle, Athletic Department, Oxford, MS 38677 2011-06-23
1639277957 University of Mississippi Pharmacy 153 Rebel Drive, Harrison Bldg, University, MS 38677-1848 2006-09-20
1285947614 University of Mississippi General Acute Care Hospital 2500 N State St, Jackson, MS 39216-4500 2010-07-14
1548573975 University of Mississippi General Acute Care Hospital 2500 N State St, Jackson, MS 39216-4500 2010-07-14

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities UNIVERSITY OF MISSISSIPPI 113 Falkner, University, MS 38677-9704

Office Location

Street Address G382 KINARD HALL
City UNIVERSITY
State MS
Zip Code 38677

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164049102 Catherine Meredith Pendergast Specialist/Technologist 36 Hill Dr., University, MS 38677 2020-06-25
1245883339 Laura J Dixon Psychologist 382 Kinard Hall, Psychological Services Center, University, MS 38677 2019-07-18
1710549795 Ronald Corbit Franks Jr. Specialist/Technologist 972 Hathorn Rd, University, MS 38677 2019-07-01
1073083945 Daniel Locke Deason Psychologist 320 Lester Hall, University, MS 38677 2018-12-04
1831632876 Brittany Ferrell Specialist/Technologist 836 All-american Dr, Starnes Athletic Training Room, University, MS 38677 2016-11-23
1659729127 Joshua Magruder Counselor 850 Insight Park, Ste. 163 A, University, MS 38677 2016-05-25
1689055972 Carol Anne Langendoen Social Worker 850 Insight Park Suite 163a, University, MS 38677 2015-06-12
1841670791 Britney Elise Woodhull-smith Specialist/Technologist 836 All-american Drive, Starnes Athletic Training Room, Oxford, MS 38677 2015-06-05
1841687076 Melanie Lynn Specialist/Technologist 836 All-american Dr., University, MS 38677 2015-04-27
1871901066 University Mississippi Nutrition Clinic Clinic/Center 100 Lenoir Hall, Sorority Row, University, MS 38677 2014-07-31
Find all providers in zip 38677

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and state

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

Competitor

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City UNIVERSITY
Zip Code 38677

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Dataset Information

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.

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