OrganizationActive
Mississippi State University
NPI 1487463311 · Developmental Disabilities Clinic/Center · Mississippi State, MS
Provider details
- NPI number
- 1487463311
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Mississippi State University
- Organization subpart
- Yes
- Authorized official
- Martha Thomas, Business Director(662) 325-1028
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
695 Bully Blvd
Mississippi State, MS 39762
Phone: (662) 325-1028
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9736
Mississippi State, MS 39762-9736
Other names (DBA / former)
- Doing business as
- Autism and Developmental Disabilities Clinic
Registry dates
- Enumerated
- 2025-01-06
- Last updated
- 2025-10-31
- Certified
- 2025-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.