BEHAVIOR, ATTENTION, AND DEVELOPMENTAL DISABILITIES CONSULTANTS, LLC (NPI# 1902089857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902089857 |
| Entity Type | Organization |
| Organization Name | BEHAVIOR, ATTENTION, AND DEVELOPMENTAL DISABILITIES CONSULTANTS, LLC |
| Other Organization Name | INTEGRATED HEALTH |
| Practice Address |
5779 Getwell Rd Bldg D3 Southaven MS 38672-6351 |
| Mailing Address |
4628 Union Rd Sardis MS 38666-3280 |
| Practice Telephone | 6625106507 |
| Practice Fax Number | 6625106508 |
| Mailing Telephone | 6626094950 |
| Mailing Fax Number | 8444457727 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | EMILY THOMAS JOHNSON (OWNER) |
| Authorized Official Telephone | 6626094950 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Integrated Health | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 404 Galleria Dr Ste 9, Oxford, MS 386554383 | 6625106507 | 6625106508 |
| 4628 Union Rd, Sardis, MS 386663280 | 6624873188 | 6624873188 |
| Street Address |
5779 GETWELL RD BLDG D3 |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38672-6351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336621200 | Kayla Rea Grimmett | Behavioral Analyst | 5779 Getwell Rd Bldg D3, Southaven, MS 38672-6351 | 2018-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100826 | Sarah Kathryn Pratt | Physical Therapist | 5271 Getwell Road, Suite A, Southaven, MS 38672 | 2020-09-24 |
| 1356713606 | Deadra Dennis | Behavioral Analyst | 2816 Calico Rock Cv, Southaven, MS 38672 | 2015-10-27 |
| 1568727352 | Patricia Leanne Lewis | Family Medicine | 5908 Getwell Rd, Southaven, MS 38672 | 2012-07-09 |
| 1417183922 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2945 Goodman Road East, Southaven, MS 38672 | 2009-06-10 |
| 1568609998 | Susan Orsland | Physical Therapist | 4355 Genevieve Drive, Southaven, MS 38672 | 2009-01-07 |
| 1659516524 | Stacy L Sanders | Audiologist | 5740 Getwell Rd. Building 3 Unit B, Southaven, MS 38672 | 2008-12-08 |
| 1295927226 | Tracey F Petrides | Family Medicine | 5779 Getwell Road, Building D, Suite 3, Southaven, MS 38672 | 2007-08-14 |
| 1538288741 | Bruce A Denney | Dentist | 7125 Getwell Road, Suite 102, Southaven, MS 38672 | 2007-03-28 |
| 1154480150 | Kimberly Marie Metcalf | Social Worker | 7165-g Getwell Rd., Southaven, MS 38672 | 2006-12-06 |
| 1346318441 | Deborah Verucchi | Nurse Practitioner | 5740 Getwell Rd Ste B, Southaven, MS 38672 | 2006-11-30 |
| Find all providers in zip 38672 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871749200 | Little and Associates LLC | Psychologist | 8830 Centre St, Suite 5, Southaven, MS 38671-2609 | 2008-08-18 |
| 1538376199 | Emily Thomas Johnson | Psychologist | 5779 Getwell Rd Ste 3, Southaven, MS 38672-6347 | 2007-05-16 |
| 1891884177 | Paul Sheldon Leonard | Psychologist | 7075 Golden Oaks Loop W, Southaven, MS 38671-9010 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245883339 | Laura J Dixon | Psychologist | 382 Kinard Hall, Psychological Services Center, University, MS 38677 | 2019-07-18 |
| 1841674645 | Joshua Campbell Fulwiler | Psychologist | 2625 Traceland Dr Ste B, Tupelo, MS 38801-4240 | 2015-07-13 |
| 1598163321 | Joye W Shanteau | Psychologist | 410 Wulff Dr, None, Ocean Springs, MS 39564-4544 | 2014-12-10 |
| 1205236932 | James A Chaney | Psychologist | 306 Aston Ave, Mccomb, MS 39648-3808 | 2014-08-29 |
| 1558787622 | Shenia Lyons | Psychologist | 665 Highway 51 Ste A, Ridgeland, MS 39157-2136 | 2014-03-12 |
| 1861826927 | Andy Tseng | Psychologist | 400 Veterans Ave (116b), Va Gulf Coast Health Care System, Biloxi, MS 39531 | 2013-08-26 |
| 1215375746 | Payne Behavioral Medicine | Psychologist | 4005 N State St Ste N, Jackson, MS 39206-5755 | 2013-06-06 |
| 1366887135 | Brighter Day Health LLC | Psychologist | 716 Esplanade Dr, Ridgeland, MS 39157-5131 | 2013-05-06 |
| 1811245277 | Amanda L Gugliano | Psychologist | 1490 W Government St, Suite 7, Brandon, MS 39042-3024 | 2012-08-16 |
| 1497027775 | Fitness Clinic | Psychologist | 2219 Greenway Dr, Jackson, MS 39204-3202 | 2012-02-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BEHAVIOR, ATTENTION, AND DEVELOPMENTAL DISABILITIES CONSULTANTS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.