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MISSISSIPPI STATE UNIVERSITY
NPI 1487463311
Clinic/Center - Developmental Disabilities in Mississippi State, MS

Active since January 06, 2025
695 BULLY BLVD, MISSISSIPPI STATE, MS 39762(662) 325-1028 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mississippi State University NPPES

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

MISSISSIPPI STATE UNIVERSITY (NPI 1487463311), doing business as Autism And Developmental Disabilities Clinic, is a healthcare organization registered as a developmental disabilities in Mississippi State, Mississippi and active in the NPI registry since January 2025. The organization lists Martha Leigh Thomas, Business Director, as its authorized official.

NPPES Registry Identity

NPI1487463311
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameMISSISSIPPI STATE UNIVERSITY
Location Address695 BULLY BLVDMississippi State, MS 39762
Mailing AddressPo Box 9736Mississippi State, MS 39762-9736
Phone(662) 325-1028
Organization SubpartYes
Authorized OfficialMartha Leigh ThomasBusiness Director · (662) 325-1028
Enumeration DateJanuary 6, 2025
Last NPPES UpdateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1487463311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
695 BULLY BLVD, Mississippi State, MS 39762
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Other Names 1

Doing Business AsAutism And Developmental Disabilities Clinic

Other Providers at the Same Location NPPES 3

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

HAILEY E RIPPLE
Psychologist (Clinical)
695 BULLY BLVD
MISSISSIPPI STATE, MS 39762
Oktibbeha County (662) 325-0152
MACKENZIE SIDWELL
Psychologist
695 BULLY BLVD
MISSISSIPPI STATE, MS 39762
Oktibbeha County (662) 325-5895
STEPHANIE MATTSON
Behavior Analyst
695 BULLY BLVD
MISSISSIPPI STATE, MS 39762
Oktibbeha County (662) 325-0152

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 Mississippi State University's NPI number?

The NPI number for Mississippi State University is 1487463311. It was assigned to this organization in the NPPES registry on January 6, 2025. The provider is doing business as Autism and Developmental Disabilities Clinic.

Where is Mississippi State University located?

Mississippi State University is located at 695 Bully Blvd, Mississippi State, MS 39762. The listed phone number is (662) 325-1028.

What is Mississippi State University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Mississippi State University was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.