CHILDREN'S PSYCHIATRIC CLINIC – NPI #1891136818
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.

CHILDREN'S PSYCHIATRIC CLINIC is a psychiatry & neurologist located in FLOWOOD, MS. NPPES has assigned the NPI number 1891136818 to CHILDREN'S PSYCHIATRIC CLINIC on July 08, 2013. 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

The NPI profile was last updated on Jul 23, 2024. 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 CHILDREN'S PSYCHIATRIC CLINIC below.

NPI Profile for
CHILDREN'S PSYCHIATRIC CLINIC

NPI Number
1891136818
Enumeration Date

(about 13 years 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
CHILDREN'S PSYCHIATRIC CLINIC
Primary location
3531 LAKELAND DR STE 1052
FLOWOOD, MS 39232-8016
Phone: (601) 829-4170 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN WILKAITIS
OWNER
Phone: (601) 829-4170
Updated
Certification Date
Jul 23, 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.

Identifiers

Identifiers for CHILDREN'S PSYCHIATRIC CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMS03932074
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.