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OCEANS BEHAVIORAL HOSPITAL OF TUPELO, LLC
NPI 1023738606
Psychologist - Clinical Child & Adolescent in Tupelo, MS

Active since September 01, 2022CLIA Certified · 2 labs
4579 S EASON BLVD STE B, TUPELO, MS 38801(662) 268-4418(888) 255-5803 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Oceans Behavioral Hospital Of Tupelo, Llc NPPES

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

OCEANS BEHAVIORAL HOSPITAL OF TUPELO, LLC (NPI 1023738606) is a healthcare organization registered as a clinical child & adolescent in Tupelo, Mississippi and active in the NPI registry since September 2022. The organization holds 2 active CLIA laboratory certificates and lists Jeffrey D Lewis, Director Of Paarmaceutical Services, as its authorized official.

NPPES Registry Identity

NPI1023738606
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameOCEANS BEHAVIORAL HOSPITAL OF TUPELO, LLC
Location Address4579 S EASON BLVD STE BTupelo, MS 38801-6539
Mailing Address4579 S Eason Blvd Ste 1Tupelo, MS 38801-6539 · (662) 268-4418 · Fax (888) 255-5803
Phone(662) 268-4418
Fax(888) 255-5803
Organization SubpartNo
Authorized OfficialJeffrey D LewisDirector Of Paarmaceutical Services · (337) 303-6240
Enumeration DateSeptember 1, 2022
NPPES CertifiedAugust 31, 2022
✔ NPI 1023738606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
4579 S EASON BLVD STE B, Tupelo, MS 38801
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 25D2267853

Oceans Behavioral Hospital Of Tupelo LLC · Tupelo, MS
Active · expires Aug 31, 2026
CLIA Number25D2267853
Laboratory TypeHospital
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKimily Taylor
Laboratory Phone(662) 268-4418
Laboratory LocationOceans Behavioral Hospital Of Tupelo LLC4579 S Eason Blvd Ste B, Tupelo, MS 38801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2279665

Oceans Behavioral Hospital Of Tupelo LLC · Tupelo, MS
Active · expires Apr 4, 2027
CLIA Number25D2279665
Laboratory TypeHospital
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorKimily Taylor
Laboratory Phone(662) 268-4418
Laboratory LocationOceans Behavioral Hospital Of Tupelo LLC4749 S Eason Blvd Ste B, Tupelo, MS 38801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

OCEANS BEHAVIORAL HOSPITAL OF TUPELO, LLC
Psychiatric Hospital
4579 S EASON BLVD STE B
TUPELO, MS 38801
Lee County (662) 268-4418

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 Oceans Behavioral Hospital Of Tupelo, LLC's NPI number?

The NPI number for Oceans Behavioral Hospital Of Tupelo, LLC is 1023738606. It was assigned to this organization in the NPPES registry on September 1, 2022.

Where is Oceans Behavioral Hospital Of Tupelo, LLC located?

Oceans Behavioral Hospital Of Tupelo, LLC is located at 4579 S Eason Blvd Ste B, Tupelo, MS 38801. The listed phone number is (662) 268-4418.

What is Oceans Behavioral Hospital Of Tupelo, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Does Oceans Behavioral Hospital Of Tupelo, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Oceans Behavioral Hospital Of Tupelo, LLC was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.