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MEDITELECARE OF MISSISSIPPI LLC NPI 1467951939


NPI Information

NPI: 1467951939
Provider Name: MEDITELECARE OF MISSISSIPPI LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
645 LAKELAND EAST DR STE 101
FLOWOOD, MS
ZIP 39232
Phone: (860) 788-6404
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MEDITELECARE OF MISSISSIPPI LLC is a clinical psychologist in Flowood, MS. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. MEDITELECARE OF MISSISSIPPI LLC NPI is 1467951939. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

645 LAKELAND EAST DR STE 101
FLOWOOD, MS
ZIP 39232-099
Phone: (860) 788-6404

The provider's authorized official is Teresa P Trojanowski .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (860) 788-6404.

The enumeration date for this NPI number is 2/9/2018 and was last updated on 7/16/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
32084P0805XPsychiatry & NeurologyGeriatric PsychiatryNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
5103TC0700XPsychologistClinicalYes

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: 4/28/2024

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