SPECIALIZED TREATMENT FACILITY
NPI 1013922954
Psychiatric Residential Treatment Facility in Gulfport, MS

Active since July 29, 2006
14426 JAMES BOND RD, GULFPORT, MS 39503(228) 328-6000(228) 328-6035 Get Directions Write a Review

NPPES record last updated: December 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Specialized Treatment Facility NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPECIALIZED TREATMENT FACILITY (NPI 1013922954) is a healthcare organization registered as a psychiatric residential treatment facility in Gulfport, Mississippi and active in the NPI registry since July 2006. The organization lists Shannon Y Bush, Program Director, as its authorized official.

NPPES Registry Identity

NPI1013922954
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameSPECIALIZED TREATMENT FACILITY
Location Address14426 JAMES BOND RDGulfport, MS 39503-8311
Mailing Address14426 James Bond RdGulfport, MS 39503-8311 · (228) 328-6000 · Fax (228) 328-6035
Fax(228) 328-6035
Organization SubpartNo
Authorized OfficialShannon Y BushProgram Director · (228) 328-6000
Enumeration DateJuly 29, 2006
Last NPPES UpdateDecember 5, 2019
NPI 1013922954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
License Licensed in MS · 981
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
14426 JAMES BOND RD, Gulfport, MS 39503

Other Identifiers 1

Medicaid04333899MS

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2009497

Specialized Treatment Facility · Gulfport, MS
Expired · Jul 5, 2026
CLIA Number25D2009497
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 6, 2024
Certificate Expiration DateJuly 5, 2026
Laboratory DirectorShannon Y. Bush
Laboratory Phone(228) 328-6000
Laboratory LocationSpecialized Treatment Facility14426 James Bond Road, Gulfport, MS 39503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
14426 JAMES BOND RD
GULFPORT, MS 39503
Psychiatric Residential Treatment Facility
14426 JAMES BOND RD
GULFPORT, MS 39503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Specialized Treatment Facility's NPI number?

The NPI number for Specialized Treatment Facility is 1013922954. It was assigned to this organization in the NPPES registry on July 29, 2006.

Where is Specialized Treatment Facility located?

Specialized Treatment Facility is located at 14426 James Bond Rd, Gulfport, MS 39503. The listed phone number is (228) 328-6000.

What is Specialized Treatment Facility's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

What insurance does Specialized Treatment Facility accept?

Health plans from Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Specialized Treatment Facility as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Specialized Treatment Facility was last updated on December 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.