OTIS ANDERSON, III M.D. – NPI #1932321742
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.
OTIS ANDERSON, III is a psychiatry & neurologist located in SOUTHAVEN, MS. NPPES has assigned the NPI number 1932321742 to OTIS ANDERSON, III on May 02, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. 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 previously updated about 15 years ago on Oct 13, 2011. 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 OTIS ANDERSON, III below.
NPI Profile for
OTIS ANDERSON, III
(more than 19 years ago)
SOUTHAVEN, MS 38671-9691 Phone: (662) 893-6300 Fax:
MEMPHIS, TN 38125 Phone: (901) 240-8937 Fax:
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) |
MS | 21754 |
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.