JACKSON VA CARE SITE
NPI 1154784965
Psychiatric Residential Treatment Facility in Jackson, MS

Active since March 30, 2016
1500 WOODROW WILSON AVE, JACKSON, MS 39216(615) 355-3451 Get Directions Write a Review

NPPES record last updated: October 4, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 29, 2017, Mar 30, 2016 (2 updates tracked since 2016).

About Jackson Va Care Site NPPES

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

JACKSON VA CARE SITE (NPI 1154784965) is a healthcare organization registered as a psychiatric residential treatment facility in Jackson, Mississippi and active in the NPI registry since March 2016. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1154784965
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameJACKSON VAMC
Location Address1500 WOODROW WILSON AVEJackson, MS 39216-5116
Mailing AddressPo Box 94497Cleveland, OH 44101-4497 · (615) 355-3451
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateMarch 30, 2016
Last NPPES UpdateOctober 4, 20172 updates tracked since enumeration
NPI 1154784965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
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
1500 WOODROW WILSON AVE, Jackson, MS 39216

Other Names 1

Other NameJackson Va Care Site

Other Providers at the Same Location NPPES

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

Ophthalmology
1500 WOODROW WILSON AVE, G. V. 'SONNY' MONTGOMERY VA MEDICAL CENTER
JACKSON, MS 39216

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 Jackson Vamc's NPI number?

The NPI number for Jackson Vamc is 1154784965. It was assigned to this organization in the NPPES registry on March 30, 2016. The provider is also known as Jackson VA Care Site.

Where is Jackson Vamc located?

Jackson Vamc is located at 1500 Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (615) 355-3451.

What is Jackson Vamc's specialty?

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

When was this NPI record last updated?

The NPPES record for Jackson Vamc was last updated on October 4, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.