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Gulf Coast Mental Health Center

Intellectual & Developmental Disabilities Psychologist in Gulfport, MS · enumerated 2010 · authorized official Debora Stanovich, Credentials Specialist.

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

National Provider Identifier

1861715773

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Registry record

Entity type Organization (Type 2)
Legal business name Gulf Coast Mental Health Center
Other name <Unavail>
Parent organization Gulf Coast Mental Health Center
Practice address 1600 Broad Ave, Gulfport, MS, 39501
Fax (228) 865-1700
Enumeration date Mar 5, 2010
Last updated in NPPES Oct 21, 2019

Taxonomy & classification

103TM1800X Intellectual & Developmental Disabilities Psychologist Behavioral Health & Social Service Providers · License R13-1 (MS) Primary

Authorized official

Name Debora Stanovich
Title Credentials Specialist

Other identifiers

Identifier Type State Issuer
00770456 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-10-21. Verify at npiregistry.cms.hhs.gov.
Where is Gulf Coast Mental Health Center located?
The practice location on file with NPPES is in Gulfport, MS.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-10-21.