Gulf Coast Mental Health Center is a Intellectual & Developmental Disabilities Psychologist (organization) practicing in Gulfport, Mississippi. The National Provider Identifier (NPI) is #1598127771, which was assigned on March 25, 2016, and the registration record was last updated on March 25, 2016. The practitioner's main practice location is at 1110 42nd Ave, Gulfport, MS 39501-2663; the contact telephone number is 2288682072, and the fax number is 2288682091. The primary taxonomy of Gulf Coast Mental Health Center is Intellectual & Developmental Disabilities Psychologist (103TM1800X), with specialization in Intellectual & Developmental Disabilities. The authorized official for Gulf Coast Mental Health Center is Mr. Thomas Pritchard (C F O). Gulf Coast Mental Health Center is licensed to practice in the state of Mississippi (#REG13-PVS-WAC-01).
| NPI | 1598127771 |
| Entity Type | Organization |
| Organization Name | GULF COAST MENTAL HEALTH CENTER |
| Provider Name | GULF COAST MENTAL HEALTH CENTER |
| Other Organization Name |
GULF COAST INDUSTRIES (Other Name) |
| Other Name | GULF COAST INDUSTRIES |
| Practice Address |
1110 42nd Ave Gulfport MS 39501-2663 |
| Practice Telephone | 2288682072 |
| Practice Fax Number | 2288682091 |
| Mailing Address |
1600 Broad Ave Gulfport MS 39501-3603 |
| Mailing Telephone | 2288631132 |
| Mailing Fax Number | 2288651700 |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |
| Is Organization Subpart | Y |
| Parent Organization Legal Business Name | GULF COAST MENTAL HEALTH CENTER |
| Official Name | MR. THOMAS PRITCHARD |
| Official Title | C F O |
| Telephone | 2288631132 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 103TM1800X | Psychologist | Intellectual & Developmental Disabilities | 193200000X MULTI-SPECIALTY GROUP | REG13-PVS-WAC-01 | MS |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 00770456 | MS | MEDICAID |
| Other Organization Name | Type |
|---|---|
| GULF COAST INDUSTRIES | Other Name |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Gulf Coast Mental Health Center · Gulf Coast Industries | 1600 Broad Ave, Gulfport, MS 39501-3603 | Intellectual & Developmental Disabilities Psychologist | 2010-03-05 |
| Gulf Coast Mental Health Center | 1600 Broad Avenue, Gulfport, MS 39501 | Sports Physical Therapist | 2018-03-29 |
| Gulf Coast Mental Health Center | 1600 Broad Ave, Gulfport, MS 39501-3603 | Intellectual & Developmental Disabilities Psychologist | 2005-12-23 |
| Gulf Coast Mental Health Center | 1600 Broad Avenue, Gulfport, MS 39501-3603 | Community/Behavioral Health Agency | 2018-03-16 |
| Gulf Coast Mental Health Center | 1600 Broad Ave, Gulfport, MS 39501-3603 | Mental Health Counselor | 2014-06-04 |
| Gulf Coast Mental Health Center | 15094 County Barn Road, Gulfport, MS 39503 | Community/Behavioral Health Agency | 2018-06-14 |
| Gulf Coast Mental Health Center | 1600 Broad Avenue, Gulfport, MS 39501-3603 | Community/Behavioral Health Agency | 2018-03-16 |
| Gulf Coast Mental Health Center | 1600 Broad Avenue, Gulfport, MS 39501-3603 | Community/Behavioral Health Agency | 2018-03-20 |
| Gulf Coast Mental Health Center | 15094 County Barn Road, Gulfport, MS 39503 | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 2018-04-13 |
| Gulf Coast Mental Health Center | 819b Central Ave, Bay St Louis, MS 39520-3913 | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 2018-03-01 |
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| Code | 103TM1800X |
| Taxonomy | Intellectual & Developmental Disabilities Psychologist |
| Classification | Psychologist |
| Specialization | Intellectual & Developmental Disabilities |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: Definition to come... |
| Notes: [1/1/2021: modified title] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Philine Rodgers | 1512 Manss Ave, Cincinnati, OH 45205-1053 | Intellectual & Developmental Disabilities Psychologist | 2024-12-23 |
| Abdulaahi Mohamad | 938 6th St E, Saint Paul, MN 55106-4504 | Intellectual & Developmental Disabilities Psychologist | 2025-01-02 |
| Elite Care and Staffing, LLC | 39 S Chester Pike, Glenolden, PA 19036-1830 | Intellectual & Developmental Disabilities Psychologist | 2024-10-30 |
| Aidvantage Care LLC | 2573 Cabernet Cir, Ocoee, FL 34761-5042 | Intellectual & Developmental Disabilities Psychologist | 2024-12-26 |
| Bilqis T Nurudeen | 3909 Noyes Cir Apt 1, Randallstown, MD 21133-2374 | Intellectual & Developmental Disabilities Psychologist | 2024-12-02 |
| Ema Farhan Hassan | 1629 Marshall St Ne, Minneapolis, MN 55413-1043 | Intellectual & Developmental Disabilities Psychologist | 2024-12-16 |
| Cristina Figueroa | 620 N Grant Ave, Odessa, TX 79761-4560 | Intellectual & Developmental Disabilities Psychologist | 2025-01-11 |
| Join Hands Services Inc | 2700 E Dublin Granville Rd Ste 570, Columbus, OH 43231-4080 | Intellectual & Developmental Disabilities Psychologist | 2024-11-09 |
| Evergreen Pathways Home LLC | 3500 Grove City Rd, Grove City, OH 43123-2598 | Intellectual & Developmental Disabilities Psychologist | 2025-01-04 |
| Rhonda Renee Simpson | 403 N Baugh St, Alvarado, TX 76009-3904 | Intellectual & Developmental Disabilities Psychologist | 2025-01-06 |
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| Street Address |
1110 42ND AVE |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-2663 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Fraxine Graves | 1110 42nd Ave, Gulfport, MS 39501-2663 | Day Training/Habilitation Specialist | 2022-10-07 |
| Joyce Howard | 1110 42nd Ave, Gulfport, MS 39501-2663 | Day Training/Habilitation Specialist | 2022-10-12 |
| Mary Reynolds | 1110 42nd Ave, Gulfport, MS 39501-2663 | Day Training/Habilitation Specialist | 2022-10-12 |
| Javier Sardin | 1110 42nd Ave, Gulfport, MS 39501-2663 | Day Training/Habilitation Specialist | 2022-10-12 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tanisha Nedelka Prins | 1800 Dong Xoai Avenue, Building 60, Room 250, Gulfport, MS 39501 | Clinical Social Worker | 2018-08-06 |
| Huong Nguyen | 2433 25th Avenue, Gulfport, MS 39501 | Pharmacist | 2014-05-14 |
| Stateserv Medical, LLC | 1235 Pass Road, Gulfport, MS 39501 | Oxygen Equipment & Supplies (DME) | 2023-11-30 |
| Patriot Healthcare of Mississippi, LLC | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | Geriatric Medicine (Family Medicine) Physician | 2018-11-15 |
| Dayna Beasley | 4500 13th St., Gulfport, MS 39501 | Certified Registered Nurse Anesthetist | 2020-08-07 |
| Greg Meekin Ent | 1201 31st Avenue, Gulfport, MS 39501 | Otolaryngology Physician | 2019-07-25 |
| Salman Bari | 4500 13th Street, Memorial Health System, Gulfport, MS 39501 | Student in an Organized Health Care Education/Training Program | 2024-06-17 |
| Krishna Sai Kommineni | 1110 Broad Ave, Suite 500, Gulfport, MS 39501 | Rheumatology Physician | 2017-07-17 |
| Carmenza Marcella Valderrama | 1202 Broad Avenue, Gulfport, MS 39501 | Family Medicine Physician | 2021-04-21 |
| Gulf Coast Mental Health Center | 1600 Broad Avenue, Gulfport, MS 39501 | Sports Physical Therapist | 2018-03-29 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Gulf Coast Hospital Lp · Gulf Coast Medical Center | 1400 Hwy 59 Bypass, Wharton, TX 77488 | Ambulatory Surgical Clinic/Center | 2008-11-06 |
| Gulf Coast Health Center, Inc. · Gulf Coast Health Center-Phillis Wheatley-Sbhc | 1100 Jefferson Dr, Port Arthur, TX 77642-0638 | Federally Qualified Health Center (FQHC) | 2022-08-31 |
| Gulf Coast Medical Management · Gulf Coast Community Health Center | 1200 Avenue G, Suite# 201, Marrero, LA 70072-3765 | Family Medicine Physician | 2008-03-30 |
| Gulf Coast Treatment Center · Gulf Coast Youth Services | 1015 Mar Walt Drive, Fort Walton Beach, FL 32547 | Psychiatric Hospital | 2006-09-21 |
| Gulf Coast Teaching Family Sevices · Gulf Coast Social Services | 2400 Edenborn Ave, Metairie, LA 70001-1817 | In Home Supportive Care Agency | 2012-03-23 |
| Gulf Coast Hma Physician Management LLC · Gulf Coast Medical Group-Chronic Pain Treatment Center | 417 Commercial Ct, Suite A6, Venice, FL 34292-1655 | Pain Medicine Physician | 2011-06-09 |
| Signature Gulf Coast Hospital Lp · Gulf Coast Medical Center | 10141 Us 59 Rd, Wharton, TX 77488-7224 | Skilled Nursing Facility | 2006-06-14 |
| Gulf Coast Hma Physician Management LLC · Gulf Coast Medical Group Internal Medicine Tuscany | 1720 E Venice Ave Fl 2, Venice, FL 34292-3190 | Family Medicine Physician | 2021-07-16 |
| Gulf Coast Teaching Family Service, Inc. · Gulf Coast Social Services, Inc. | 723 Point St, Houma, LA 70360-4744 | Community/Behavioral Health Agency | 2007-02-28 |
| Gulf Coast Hma Physician Management LLC · Gulf Coast Primary Care Medical Group | 333 Tamiami Trl S, Suite 102, Venice, FL 34285-2402 | Family Medicine Physician | 2011-02-23 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |