ST. DOMINIC PSYCHIATRIC ASSOCIATES
NPI 1386708188
Psychiatry & Neurology - Psychiatry in Jackson, MS

Active since December 19, 2006
969 LAKELAND DR, ST THOMAS HALL, JACKSON, MS 39216(601) 200-3110(601) 200-3109 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2021, Jul 2, 2021, Oct 28, 2019 (3 updates tracked since 2019).

About St. Dominic Psychiatric Associates NPPES

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

ST. DOMINIC PSYCHIATRIC ASSOCIATES (NPI 1386708188) is a healthcare organization registered as a psychiatry in Jackson, Mississippi and active in the NPI registry since December 2006. The organization maintains 2 additional practice locations and lists Danielle Stuart, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1386708188
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameST DOMINIC MEDICAL ASSOCIATES LLC
Location Address969 LAKELAND DR, ST THOMAS HALLJackson, MS 39216-4606
Mailing AddressPo Box 23666Jackson, MS 39225-3666 · (601) 200-3100 · Fax (601) 200-8846
Fax(601) 200-3109
Organization SubpartNo
Authorized OfficialDanielle StuartCredentialing Specialist · (601) 200-4880
Enumeration DateDecember 19, 2006
Last NPPES UpdateAugust 11, 20213 updates tracked since enumeration
NPPES CertifiedAugust 11, 2021
NPI 1386708188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
969 LAKELAND DR, Jackson, MS 39216

Other Names 2

Doing Business AsSt. Dominic Psychiatric Associates
Doing Business AsBehavioral Health Associates

Secondary Practice Locations 2

Location 1810 E Sunflower Rd Ste 100JCleveland, MS 38732-2828 · Phone (601) 200-3100 · Fax (601) 200-8846
Location 22969 Curran Dr NJackson, MS 39216-4121 · Phone (601) 200-3100 · Fax (601) 200-8846

Other Identifiers 1

Medicaid00784213MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Internal Medicine
969 LAKELAND DR
JACKSON, MS 39216
Pharmacy (Institutional Pharmacy)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner
969 LAKELAND DR
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Emergency Medicine
969 LAKELAND DR
JACKSON, MS 39216

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 St Dominic Medical Associates LLC's NPI number?

The NPI number for St Dominic Medical Associates LLC is 1386708188. It was assigned to this organization in the NPPES registry on December 19, 2006. The provider is doing business as St. Dominic Psychiatric Associates and Behavioral Health Associates.

Where is St Dominic Medical Associates LLC located?

St Dominic Medical Associates LLC is located at 969 Lakeland Dr St Thomas Hall, Jackson, MS 39216. The listed phone number is (601) 200-3110.

What is St Dominic Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for St Dominic Medical Associates LLC was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.