GULF COAST MENTAL HEALTH CENTER
NPI 1417934175
Psychologist, Intellectual & Developmental Disabilities in Gulfport,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 23, 2005

Contact Information

1600 Broad Ave
Gulfport,
Post Code: 39501
Phone: (228) 863-1132
Fax: (228) 865-1700

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Gulf Coast Mental Health Center in Gulfport - Psychologist, Intellectual & Developmental Disabilities

Gulf Coast Mental Health Center is a Psychologist, Intellectual & Developmental Disabilities in Gulfport, . Gulf Coast Mental Health Center practices all healthcare services and medical treatments related to Psychologist, Intellectual & Developmental Disabilities. The NPI Number for Gulf Coast Mental Health Center is 1417934175. The last update date is 2020-09-21.

Gulf Coast Mental Health Center's current location address is 1600 Broad Ave, Gulfport, . You can contact this provider via phone number (228) 863-1132 and fax number (228) 865-1700. The mailing address for Gulf Coast Mental Health Center is 1600 Broad Ave, Gulfport, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1417934175
Provider Legal Name
GULF COAST MENTAL HEALTH CENTER
Other Organization Name
GULF COAST MENTAL HEALTH CENTER
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
1600 Broad Ave, Gulfport,
Location Phone
(228) 863-1132
Location Fax
(228) 865-1700
Mailing Address
1600 Broad Ave, Gulfport, Mississippi(MS)
Mailing Phone
228-863-1132
Mailing Fax
228-865-1700
Enumeration Date
2005-12-23
Last Update Date
2020-09-21
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center, Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 103TM1800X Intellectual & Developmental Disabilities Psychologist

Psychologist, Intellectual & Developmental Disabilities

REG13-SO-01 (Mississippi)
2 320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

R-13-1 (Mississippi)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00018213 MEDICAID (05) Mississippi (MS)
C00120 Other (non-Medicare) (01) Mississippi (MS) Center Medicare ID
QMP000005325798 Other (non-Medicare) (01) Mississippi (MS) MOLINA MEDICAID

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417934175
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24271838114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 24271838114
2 + 4 + 2 + 7 + 1 + 8 + 3 + 8 + 1 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 5 5

The NPI number 1417934175 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255334280 JAMES KENNETH HENSARLING
Individual
Internal Medicine, Rheumatology 4436 MANGUM DR.
FLOWOOD, Mississippi (MS)
601-982-7363
1154324366 RAY JAIME RODRIGUEZ
Individual
Allergy & Immunology 7730 OLD CANTON RD BLDG B
MADISON, Mississippi (MS)
601-499-0935
1326041591 SCOTT T BRADLEY
Individual
Ophthalmology 425 HOSPITAL DR
COLUMBUS, Mississippi (MS)
662-328-2061
1366445520 WILLIAM MEEK GILLESPIE
Individual
Ophthalmology 425 HOSPITAL DR
COLUMBUS, Mississippi (MS)
662-328-2061
1386647436 ERMAN FRANKLIN RAWLINGS
Individual
Ophthalmology 3430 BIENVILLE BLVD
OCEAN SPRINGS, Mississippi (MS)
228-875-6658