1. Home
  2. Directory
  3. Mississippi
  4. Gulfport
  5. Community Behavioral Health
  6. NPI Profile

SSIPP SELECT BASKETBALL & MENTORING PROGRAM NON PROFIT
NPI 1396315792
Community/Behavioral Health in Gulfport, MS

Active since June 28, 2021
3 NOTTINGHAM CIR, GULFPORT, MS 39503(662) 519-1608 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ssipp Select Basketball & Mentoring Program Non Profit NPPES

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

SSIPP SELECT BASKETBALL & MENTORING PROGRAM NON PROFIT (NPI 1396315792) is a healthcare organization registered as a community/behavioral health in Gulfport, Mississippi and active in the NPI registry since June 2021. The organization maintains a secondary practice location in Gulfport and lists Leonard C Bennett, Director, as its authorized official.

NPPES Registry Identity

NPI1396315792
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSSIPP SELECT BASKETBALL & MENTORING PROGRAM NON PROFIT
Location Address3 NOTTINGHAM CIRGulfport, MS 39503-4021
Mailing Address3 Nottingham CirGulfport, MS 39503-4021 · (662) 519-1608
Phone(662) 519-1608
Organization SubpartNo
Authorized OfficialLeonard C BennettDirector · (662) 519-1608
Enumeration DateJune 28, 2021
NPPES CertifiedJune 27, 2021
✔ NPI 1396315792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
3 NOTTINGHAM CIR, Gulfport, MS 39503
Open in Google Maps ↗

Other Names 2

Doing Business AsSsipp Select Basketball & Mentoring Program Non Profit
Doing Business AsSsipp Select Basketball & Mentoring Non Profit

Secondary Practice Location 1

Location 13 Nottingham CirGulfport, MS 39503-4021

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Ssipp Select Basketball & Mentoring Program Non Profit's NPI number?

The NPI number for Ssipp Select Basketball & Mentoring Program Non Profit is 1396315792. It was assigned to this organization in the NPPES registry on June 28, 2021. The provider is doing business as SSiPP Select Basketball & Mentoring Non Profit.

Where is Ssipp Select Basketball & Mentoring Program Non Profit located?

Ssipp Select Basketball & Mentoring Program Non Profit is located at 3 Nottingham Cir, Gulfport, MS 39503. The listed phone number is (662) 519-1608.

What is Ssipp Select Basketball & Mentoring Program Non Profit's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Ssipp Select Basketball & Mentoring Program Non Profit was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.