OrganizationActive
Mississippi State Hospital
NPI 1134366867 · Mental Health Clinic/Center (Including Community Mental Health Center) · Jackson, MS
Provider details
- NPI number
- 1134366867
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Chastain, Director of Hospital(601) 351-8000
- License
- DCS-MSH (MS)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense DCS-MSH (MS)
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
350 Capers Ave
Jackson, MS 39203-2131
Phone: (601) 351-8000
Street-level locationGet directions
Mailing address
350 Capers Ave
Jackson, MS 39203-2131
Other names (DBA / former)
- Doing business as
- Lighthouse Medical Clinic
Registry dates
- Enumerated
- 2009-01-16
- Last updated
- 2009-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.