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UNIVERSITY OF MISSISSIPPI MEDICAL CENTER NPI 1043549280


NPI Information

NPI: 1043549280
Provider Name: UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

Other Name: UMMC

Classification: Psychologist - 103TC1900X
Entity Type: Organization

Specialization: Counseling

CLIA Number: 25D1086613

Address:
2500 N STATE ST # H819-01
JACKSON, MS
ZIP 39216
Phone: (601) 984-5957
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UNIVERSITY OF MISSISSIPPI MEDICAL CENTER is a counseling psychologist in Jackson, MS. The provider is a psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms. UNIVERSITY OF MISSISSIPPI MEDICAL CENTER NPI is 1043549280. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Ummc.

The provider's business location address is:

2500 N STATE ST # H819-01
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-5957

The provider's authorized official is Keith Gran .
The authorized official title is Ceo For University Physician and has the following contact phone number (601) 815-4775.

The CLIA number assigned to this NPI record is 25D1086613 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/17/2009 and was last updated on 10/25/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist22061CALIFORNIANo
2103TC1900XPsychologistCounseling49850MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1302I689512MEDICARE PINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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