OLIVE BRANCH PSYCHIATRIC SERVICES
NPI 1306303011
Nurse Practitioner - Psychiatric/Mental Health in Olive Branch, MS
About Olive Branch Psychiatric Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLIVE BRANCH PSYCHIATRIC SERVICES (NPI 1306303011) is a healthcare organization registered as a psychiatric/mental health in Olive Branch, Mississippi and active in the NPI registry since February 2019. The organization lists Tomika Washington, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Olive Branch Psychiatric Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Olive Branch Psychiatric Services, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Olive Branch Psychiatric Services's NPI number?
The NPI number for Olive Branch Psychiatric Services is 1306303011. It was assigned to this organization in the NPPES registry on February 28, 2019.
Where is Olive Branch Psychiatric Services located?
Olive Branch Psychiatric Services is located at 6914 Autumn Oaks Dr Ste A, Olive Branch, MS 38654. The listed phone number is (662) 408-4136.
What is Olive Branch Psychiatric Services's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Olive Branch Psychiatric Services enrolled in Medicare?
Yes. Olive Branch Psychiatric Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Olive Branch Psychiatric Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Olive Branch Psychiatric Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Olive Branch Psychiatric Services was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Olive Branch Psychiatric Services · NPI 1306303011
Psychiatric/Mental Health organization in Olive Branch, Mississippi. Organization record, active in the CMS NPPES registry since February 28, 2019.
## Identity
- **NPI:** 1306303011 (Entity type: Organization)
- **Enumerated:** February 28, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Tomika Washington, OWNER
## Practice location
- **Address:** 6914 AUTUMN OAKS DR STE A, Olive Branch, MS 38654-9380
- **Phone:** (662) 408-4136 · **Fax:** (662) 420-7940
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 4, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1306303011) · Data from the CMS NPPES public registry.