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Specialized Treatment Facility

Psychiatric Residential Treatment Facility in Gulfport, MS · enumerated 2006 · authorized official Shannon Bush, Program Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013922954

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Registry record

Entity type Organization (Type 2)
Legal business name Specialized Treatment Facility
Practice address 14426 James Bond Rd, Gulfport, MS, 39503
Phone (228) 328-6000
Fax (228) 328-6035
Enumeration date Jul 29, 2006
Last updated in NPPES Dec 5, 2019

Taxonomy & classification

323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities · License 981 (MS) Primary

Authorized official

Name Shannon Bush
Title Program Director
Phone (228) 328-6000

Other identifiers

Identifier Type State Issuer
04333899 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Specialized Treatment Facility?
The NPI for Specialized Treatment Facility is 1013922954, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Specialized Treatment Facility?
NPPES lists Shannon Bush (Program Director) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-12-05.