PEDIATRIC PSYCHIATRIC PROFESSIONAL LLC – NPI #1811719834
Psychiatry & Neurology

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

PEDIATRIC PSYCHIATRIC PROFESSIONAL LLC is a psychiatry & neurologist located in MEMPHIS, TN. NPPES has assigned the NPI number 1811719834 to PEDIATRIC PSYCHIATRIC PROFESSIONAL LLC on October 30, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084P0804X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEDIATRIC PSYCHIATRIC PROFESSIONAL LLC below.

NPI Profile for
PEDIATRIC PSYCHIATRIC PROFESSIONAL LLC

NPI Number
1811719834
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEDIATRIC PSYCHIATRIC PROFESSIONAL LLC
Primary location
1661 INTERNATIONAL DR STE 400
MEMPHIS, TN 38120-1431
Phone: (713) 628-8199 Fax: (901) 425-9726
Mailing address
PO BOX 17452
MEMPHIS, TN 38187-0452
Phone: (318) 527-9322 Fax: (901) 425-9726
Organization Subpart
No
Authorized Official
CHARLES FRITH
OPERATIONS MANAGER
Phone: (318) 527-9322
Updated
Certification Date
Oct 30, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.