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

Q: 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.

Q: 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.

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: October 25, 2026.

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

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rehoboth Psychiatric Services, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rehoboth Psychiatric Services, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clyde Glenn, M.D.

Psychiatry

NPI 1982612164

357 TOWNE CENTER PL STE 400
Ridgeland, MS 39157

(888) 561-3380

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Rehoboth Psychiatric Services, PLLC enrolled in Medicare?

Yes. Rehoboth Psychiatric Services, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rehoboth Psychiatric Services, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Rehoboth Psychiatric Services, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.