GULF COAST MENTAL HEALTH CENTER (NPI# 1962995860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962995860 |
| Entity Type | Organization |
| Organization Name | GULF COAST MENTAL HEALTH CENTER |
| Practice Address |
15094 County Barn Road Gulfport MS 39503 |
| Mailing Address |
1600 Broad Ave Gulfport MS 39501-3603 |
| Practice Telephone | 2288630091 |
| Practice Fax Number | 2288642241 |
| Mailing Telephone | 2288631132 |
| Mailing Fax Number | 2288651700 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |
| Authorized Official Name | MANDY MCDONALD (BILLING MANAGER) |
| Authorized Official Telephone | 2288631132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | M8723 | MS | Agencies |
| 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 |
| 1548765670 | Gulf Coast Mental Health Center | Physical Therapist | 1600 Broad Avenue, Gulfport, MS 39501 | 2018-03-29 |
| 1467956037 | Gulf Coast Mental Health Center | Community/Behavioral Health | 1600 Broad Avenue, Gulfport, MS 39501-3603 | 2018-03-20 |
| 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 |
15094 COUNTY BARN ROAD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503 |
| 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 |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| 1902257421 | Carlos Evers | Specialist/Technologist | 14046 North White Swan Dr, Gulfport, MS 39503 | 2016-06-27 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1003350471 | New Hope Family Services, Inc | Community/Behavioral Health | 3610 12th Ave, Gulfport, MS 39501-7136 | 2016-12-05 |
| 1275938763 | Ability Club Corporation | Community/Behavioral Health | 11551 Pine Dr, Gulfport, MS 39503-3998 | 2014-10-27 |
| 1467956037 | Gulf Coast Mental Health Center | Community/Behavioral Health | 1600 Broad Avenue, Gulfport, MS 39501-3603 | 2018-03-20 |
| 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 |
| 1225560410 | Gulf Coast Play Therapy Clinic, LLC | Community/Behavioral Health | 370 Courthouse Rd Ste 102, Gulfport, MS 39507-1889 | 2017-03-28 |
| 1780115808 | Rivers Psychotherapy Services, LLC | Community/Behavioral Health | 411 Security Sq, Gulfport, MS 39507 | 2017-03-21 |
| 1679972715 | Ekhaya, LLC | Community/Behavioral Health | 2214 25th Ave, Unit 101, Gulfport, MS 39501-4520 | 2014-08-14 |
| 1639395197 | Awakenings, Pa | Community/Behavioral Health | 12231 Ashley Dr, Suite C, Gulfport, MS 39503-2775 | 2007-04-17 |
| Find all providers in GULFPORT | ||||
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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.