Northeast Mental Health-Mental Retardation Commission
NPI 1548413628 · Rural Health Clinic/Center · Tupelo, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeast Mental Health-Mental Retardation Commission is a Rural Health Clinic/Center organization in Tupelo, MS (NPI 1548413628).
Provider details
- NPI number
- 1548413628
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Steven Stall, Cfo(662) 844-1717
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Lifecore Health Group
Registry dates
- Enumerated
- 2008-11-03
- Last updated
- 2014-03-20
Frequently asked questions
- What is Northeast Mental Health-Mental Retardation Commission's NPI number?
- Northeast Mental Health-Mental Retardation Commission's National Provider Identifier (NPI) is 1548413628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Mental Health-Mental Retardation Commission?
- Northeast Mental Health-Mental Retardation Commission is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Northeast Mental Health-Mental Retardation Commission located?
- Northeast Mental Health-Mental Retardation Commission's practice location on file with NPPES is 2434 S Eason Blvd, Tupelo, MS 38804-6942.
- What is Northeast Mental Health-Mental Retardation Commission's phone number?
- The practice phone number listed in the NPPES registry for Northeast Mental Health-Mental Retardation Commission is (662) 844-1717.
- Does Northeast Mental Health-Mental Retardation Commission accept Medicare?
- Northeast Mental Health-Mental Retardation Commission is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northeast Mental Health-Mental Retardation Commission?
- The authorized official listed on Northeast Mental Health-Mental Retardation Commission's NPPES record is Steven Stall, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Mental Health-Mental Retardation Commission's NPI active?
- Yes — Northeast Mental Health-Mental Retardation Commission's NPI (1548413628) is active in the NPPES registry as of the last update on 2014-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.