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PEDIATRIC HAVEN AUTISM CENTER
NPI 1043858053
Clinic/Center - Adolescent and Children Mental Health in Madison, MS

Active since December 20, 2019
102 LEXINGTON DR, MADISON, MS 39110(601) 499-6696(601) 499-6696 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 4, 2024, Mar 7, 2022, Dec 20, 2019 (3 updates tracked since 2019).

About Pediatric Haven Autism Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC HAVEN AUTISM CENTER (NPI 1043858053) is a healthcare organization registered as an adolescent and children mental health in Madison, Mississippi and active in the NPI registry since December 2019. The organization lists Jetuwan M. Brown, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1043858053
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NamePEDIATRIC HAVEN
Location Address102 LEXINGTON DRMadison, MS 39110-6952
Mailing Address103 Honours DrMadison, MS 39110-6513 · (601) 622-2997
Phone(601) 499-6696
Fax(601) 499-6696
Organization SubpartNo
Authorized OfficialJetuwan M. BrownManaging Partner · (601) 622-2997
Enumeration DateDecember 20, 2019
Last NPPES UpdateJanuary 4, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1043858053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition

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.

Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Medically Fragile Infants and Children Day CareTaxonomy 261QM3000X
Also ListedSkilled Nursing Facility · Nursing Care, PediatricTaxonomy 3140N1450X
Also ListedRespite Care · Respite Care, Mental Illness, ChildTaxonomy 385HR2055X
Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X
Also ListedRespite Care · Respite Care, Physical Disabilities, ChildTaxonomy 385HR2065X
102 LEXINGTON DR, Madison, MS 39110
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Other Names 1

Doing Business AsPediatric Haven Autism Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ASHLEY NICOLE PARSONS MS, OTR
Occupational Therapist
102 LEXINGTON DR
MADISON, MS 39110
Madison County (601) 521-4934

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Haven's NPI number?

The NPI number for Pediatric Haven is 1043858053. It was assigned to this organization in the NPPES registry on December 20, 2019. The provider is doing business as Pediatric Haven Autism Center.

Where is Pediatric Haven located?

Pediatric Haven is located at 102 Lexington Dr, Madison, MS 39110. The listed phone number is (601) 499-6696.

What is Pediatric Haven's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

What insurance does Pediatric Haven accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Pediatric Haven as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Haven was last updated on January 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.