JOHN ELGIN WILKAITIS MD MS PLLC NPI 1518411529

NPI Details

JOHN ELGIN WILKAITIS, MD, MS, PLLC is an adolescent and children mental health clinic center in Jackson, MS. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. JOHN ELGIN WILKAITIS, MD, MS, PLLC NPI is 1518411529. The provider is registered as an organization entity type.
The provider Is Doing Business As Children's Psychiatric Solutions.

The provider's business location address is:

4500 I 55 N STE 234
JACKSON, MS
ZIP 39211-932
Phone: (601) 982-8531

The provider's authorized official is John Elgin Wilkaitis .
The authorized official title is Owner and has the following contact phone number (601) 829-4170.

The CLIA number assigned to this NPI record is 25D0318467 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/8/2016 and was last updated on 7/23/2024.

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: