Provider Type Icon

MS METHODIST HOSPITAL & REHABILITATION CENTER NPI 1285772293


NPI Information

NPI: 1285772293
Provider Name: MS METHODIST HOSPITAL & REHABILITATION CENTER

Doing Business As: METHODIST REHAB CETER

Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
1350 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216
Phone: (601) 981-2611
Get Directions

MS METHODIST HOSPITAL & REHABILITATION CENTER is a clinical neuropsychologist in Jackson, MS. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. MS METHODIST HOSPITAL & REHABILITATION CENTER NPI is 1285772293. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Methodist Rehab Ceter.

The provider's business location address is:

1350 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216-112
Phone: (601) 981-2611

The provider's authorized official is Gary Armstrong .
The authorized official title is Exec Vice President and has the following contact phone number (601) 981-2611.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 4/21/2010.


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
1207RC0000XInternal MedicineCardiovascular DiseaseNo
22084N0400XPsychiatry & NeurologyNeurologyNo
3103G00000XClinical Neuropsychologist43-278MISSISSIPPIYes

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
109015759MEDICAIDMISSISSIPPI
203432351MEDICAIDMISSISSIPPI
3C01096MEDICARE PINMISSISSIPPI
409013914MEDICAIDMISSISSIPPI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.