BEACON BEHAVIORAL HEALTH-JACKSON
NPI 1194964049
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jackson, MS
About Beacon Behavioral Health-jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEACON BEHAVIORAL HEALTH-JACKSON (NPI 1194964049) is a healthcare organization registered as a mental health (including community mental health center) in Jackson, Mississippi and active in the NPI registry since February 2009. The organization lists Phillip Wendell, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Beacon Behavioral Health-Jackson's NPI number?
The NPI number for Beacon Behavioral Health-Jackson is 1194964049. It was assigned to this organization in the NPPES registry on February 17, 2009.
Where is Beacon Behavioral Health-Jackson located?
Beacon Behavioral Health-Jackson is located at 5360 I 55 N, Jackson, MS 39211. The listed phone number is (601) 373-4507.
What is Beacon Behavioral Health-Jackson's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
When was this NPI record last updated?
The NPPES record for Beacon Behavioral Health-Jackson was last updated on February 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Beacon Behavioral Health-Jackson · NPI 1194964049
Mental Health (Including Community Mental Health Center) organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since February 17, 2009.
## Identity
- **NPI:** 1194964049 (Entity type: Organization)
- **Enumerated:** February 17, 2009
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Phillip Wendell, CEO
## Practice location
- **Address:** 5360 I 55 N, Jackson, MS 39211-4026
- **Phone:** (601) 373-4507
## Record status
- **NPPES last updated:** February 17, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1194964049) · Data from the CMS NPPES public registry.