GULF COAST MENTAL HEALTH CENTER (NPI# 1467956037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467956037 |
| Entity Type | Organization |
| Organization Name | GULF COAST MENTAL HEALTH CENTER |
| Practice Address |
1600 Broad Avenue Gulfport MS 39501-3603 |
| Practice Telephone | 2288691132 |
| Practice Fax Number | 2288651700 |
| Mailing Telephone | 2288691132 |
| Mailing Fax Number | 2288651700 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |
| Authorized Official Name | MANDY MCDONALD (BILLING SUPERVISOR) |
| Authorized Official Telephone | 2288631132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | M9175 | MS | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1124520549 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 819b Central Ave, Bay St Louis, MS 39520-3913 | 2018-03-01 |
| 1598127771 | Gulf Coast Mental Health Center | Psychologist | 1110 42nd Ave, Gulfport, MS 39501-2663 | 2016-03-25 |
| 1417934175 | Gulf Coast Mental Health Center | Psychologist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2005-12-23 |
| 1962995860 | Gulf Coast Mental Health Center | Community/Behavioral Health | 15094 County Barn Road, Gulfport, MS 39503 | 2018-06-14 |
| 1548765670 | Gulf Coast Mental Health Center | Physical Therapist | 1600 Broad Avenue, Gulfport, MS 39501 | 2018-03-29 |
| 1821591728 | Gulf Coast Mental Health Center | Community/Behavioral Health | 1600 Broad Avenue, Gulfport, MS 39501-3603 | 2018-03-16 |
| 1649773540 | Gulf Coast Mental Health Center | Community/Behavioral Health | 1600 Broad Avenue, Gulfport, MS 39501-3603 | 2018-03-16 |
| 1386057628 | Gulf Coast Mental Health Center | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2014-06-04 |
| 1861715773 | Gulf Coast Mental Health Center | Psychologist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2010-03-05 |
| Street Address |
1600 BROAD AVENUE |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316176126 | Debra Lynne Deas | Social Worker | 1600 Broad Avenue, Gulfport, MS 39501-3606 | 2009-07-14 |
| 1548765670 | Gulf Coast Mental Health Center | Physical Therapist | 1600 Broad Avenue, Gulfport, MS 39501 | 2018-03-29 |
| 1821591728 | Gulf Coast Mental Health Center | Community/Behavioral Health | 1600 Broad Avenue, Gulfport, MS 39501-3603 | 2018-03-16 |
| 1649773540 | Gulf Coast Mental Health Center | Community/Behavioral Health | 1600 Broad Avenue, Gulfport, MS 39501-3603 | 2018-03-16 |
| 1205350410 | Cynthia Lynette Johnson | Nurse Practitioner | 1600 Broad Avenue, Gulfport, MS 39501 | 2017-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538792932 | Springwood Health & Supportive Living Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6447 Cheyenne Dr, Olive Branch, MS 38654-5172 | 2020-02-14 |
| 1255890695 | Boswell Regional Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1049 Simpson Highway 149, Magee, MS 39111-9644 | 2019-03-15 |
| 1871088922 | Tate Enterprises, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1105 Laura Ave, Jackson, MS 39209-7008 | 2018-06-29 |
| 1124520549 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 819b Central Ave, Bay St Louis, MS 39520-3913 | 2018-03-01 |
| 1659790152 | Light of The World Adult Day Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 W Gresham St, Indianola, MS 38751-2053 | 2014-04-11 |
| 1518386440 | Sharon Jones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 322 Dianne Dr, Diberville, MS 39540-3712 | 2014-04-08 |
| 1053682724 | Center for Family Life Extension, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1160 Mclean St, Jackson, MS 39209-7251 | 2012-01-26 |
| 1750684742 | Angela F. Holmes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1421 Mary St, Greenville, MS 38701-7148 | 2010-12-13 |
| 1417464512 | Community Living In Mississippi - Baddour | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3297 Highway 51 S, Senatobia, MS 38668-2926 | 2018-01-10 |
| 1215341979 | Methodist Home Road Assisted Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4560 Methodist Home Rd, Jackson, MS 39213-4201 | 2014-06-19 |
| 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.