Provider Type Icon

SOUTH MISSISSIPPI HEALTH SERVICE INC NPI 1447356902


NPI Information

NPI: 1447356902
Provider Name: SOUTH MISSISSIPPI HEALTH SERVICE, INC

Doing Business As: SOUTH MISSISSIPPI PSYCHIATRIC GROUP

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1 LINCOLN PKWY STE 202
HATTIESBURG, MS
ZIP 39402
Phone: (601) 288-8050
Get Directions

SOUTH MISSISSIPPI HEALTH SERVICE, INC is a psychiatry psychiatry neurology in Hattiesburg, MS. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. SOUTH MISSISSIPPI HEALTH SERVICE, INC NPI is 1447356902. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As South Mississippi Psychiatric Group.

The provider's business location address is:

1 LINCOLN PKWY STE 202
HATTIESBURG, MS
ZIP 39402-261
Phone: (601) 288-8050

The provider's authorized official is Debbie F Sanford .
The authorized official title is Adminstrator and has the following contact phone number (601) 288-4800.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 1/15/2008.


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
1103TC0700XPsychologistClinicalNo
2103TC1900XPsychologistCounselingNo
31041C0700XSocial WorkerClinicalNo
4106H00000XMarriage & Family TherapistNo
52084A0401XPsychiatry & NeurologyAddiction MedicineNo
62084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
72084P0805XPsychiatry & NeurologyGeriatric PsychiatryNo
8363LF0000XNurse PractitionerFamilyNo
9363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
102084P0800XPsychiatry & NeurologyPsychiatryYes

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
109015143MEDICAIDMISSISSIPPI
2C02510MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI

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.