Wellness Clinic, P.c., NPI 1386860898
Prescribing (Medical) Psychologist in Southaven, MS, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1386860898 |
| NPI Entity Type | Organization |
| Provider Name | Wellness Clinic, P.c. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 5740 Getwell Rd, Bldg 4c, Southaven, MS, US |
| Provider Mailing Address | Po Box 2024, Olive Branch, MS, US, 386542209 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | M.D. Savira V Sidhu |
| Official Position | PRESIDENT |
| Phone | 662-892-5000 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Prescribing (Medical) Psychologist |
| Classification | |
| Group | |
| License No. | MD000025744 |
| License State | TN |
| Description | 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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 3725205 | TN | MEDICAID | 05 |
| F95674 | MS | MEDICAID | 05 |
| 00120361 | MS | MEDICAID | 05 |
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