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REHOBOTH PSYCHIATRIC SERVICES, PLLC
NPI 1528265246
Psychiatry & Neurology - Psychiatry in Ridgeland, MS

Active since June 27, 2007CLIA 25D2172025 · Waiver
357 TOWNE CENTER PL STE 400, RIDGELAND, MS 39157(888) 561-3380(888) 732-6141 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2022, Nov 18, 2019 (2 updates tracked since 2019).

About Rehoboth Psychiatric Services, Pllc NPPES

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

REHOBOTH PSYCHIATRIC SERVICES, PLLC (NPI 1528265246) is a healthcare organization registered as a psychiatry in Ridgeland, Mississippi and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Clyde E Glenn, Owner, as its authorized official.

NPPES Registry Identity

NPI1528265246
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameREHOBOTH PSYCHIATRIC SERVICES, PLLC
Location Address357 TOWNE CENTER PL STE 400Ridgeland, MS 39157-4844
Mailing AddressPo Bx 1276Madison, MS 39130 · (888) 561-3380 · Fax (888) 732-6141
Phone(888) 561-3380
Fax(888) 732-6141
Organization SubpartNo
Authorized OfficialClyde E GlennOwner · (888) 561-3380
Enumeration DateJune 27, 2007
Last NPPES UpdateNovember 29, 20222 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
✔ NPI 1528265246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MS · 15747
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.
357 TOWNE CENTER PL STE 400, Ridgeland, MS 39157
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Other Identifiers 1

Medicaid05887866MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2172025

Rehoboth Psychiatric Services, PLLC · Ridgeland, MS
Active · expires Sep 11, 2027
CLIA Number25D2172025
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorRenee Perry
Laboratory Phone(888) 561-3380
Laboratory LocationRehoboth Psychiatric Services, PLLC357 Towne Center Place Ste 400, Ridgeland, MS 39157
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ELITE PSYCHIATRIC SERVICES PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
357 TOWNE CENTER PL STE 400
RIDGELAND, MS 39157
Madison County (888) 561-3380
TIFFANY T LOVELADY COUNSELING
Counselor (Mental Health)
357 TOWNE CENTER PL STE 400
RIDGELAND, MS 39157
Madison County (888) 561-3380
DR. CLYDE E GLENN M.D.
Psychiatry & Neurology (Psychiatry)
357 TOWNE CENTER PL STE 400
RIDGELAND, MS 39157
Madison County (888) 561-3380

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 Rehoboth Psychiatric Services, PLLC's NPI number?

The NPI number for Rehoboth Psychiatric Services, PLLC is 1528265246. It was assigned to this organization in the NPPES registry on June 27, 2007.

Where is Rehoboth Psychiatric Services, PLLC located?

Rehoboth Psychiatric Services, PLLC is located at 357 Towne Center Pl Ste 400, Ridgeland, MS 39157. The listed phone number is (888) 561-3380.

What is Rehoboth Psychiatric Services, PLLC's specialty?

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

Does Rehoboth Psychiatric Services, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2172025) is associated with this NPI, valid through September 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rehoboth Psychiatric Services, PLLC was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.