WELLNESS CLINIC P.C. NPI 1386860898

NPI Information

  • NPI: 1386860898
  • Provider Name: WELLNESS CLINIC, P.C.
  • Classification: Psychologist - 103TP0016X
  • Specialization: Prescribing (Medical)
  • Entity Type: Organization
  • Address: 5740 GETWELL RD
    BLDG 4C
    SOUTHAVEN, MS
    ZIP 38672
  • Phone: (662) 892-5000

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NPI Details

WELLNESS CLINIC, P.C. is a prescribing (medical) psychologist in Southaven, MS. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. WELLNESS CLINIC, P.C. NPI is 1386860898. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5740 GETWELL RD
BLDG 4C
SOUTHAVEN, MS
ZIP 38672-346
Phone: (662) 892-5000
Fax: (662) 892-5002

The provider's authorized official is Savira V Sidhu .
The authorized official title is President and has the following contact phone number (662) 892-5000.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 2/15/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TP0016XPsychologistPrescribing (Medical)MD000025744TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F95674MEDICARE UPIN
2C04533MEDICARE UPINMISSISSIPPI
3F95674MEDICAIDMISSISSIPPI
4260000711MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
53725205MEDICAIDTENNESSEE
63725205MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
700120361MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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