PEDIATRIC PSYCHIATRIC PROFESSIONAL LLC
NPI 1811719834
Psychiatry & Neurology - Child & Adolescent Psychiatry in Memphis, TN

Q: What is Pediatric Psychiatric Professional LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Active since October 30, 2024

1661 INTERNATIONAL DR STE 400, MEMPHIS, TN 38120(713) 628-8199(901) 425-9726 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Pediatric Psychiatric Professional Llc NPPES

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

PEDIATRIC PSYCHIATRIC PROFESSIONAL LLC (NPI 1811719834) is a healthcare organization registered as a child & adolescent psychiatry in Memphis, Tennessee and active in the NPI registry since October 2024. The organization lists Charles Randale Frith, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1811719834

Entity TypeOrganization

Primary Taxonomy2084P0804X

Legal Business NamePEDIATRIC PSYCHIATRIC PROFESSIONAL LLC

Location Address1661 INTERNATIONAL DR STE 400Memphis, TN 38120-1431

Mailing AddressPo Box 17452Memphis, TN 38187-0452 · (318) 527-9322 · Fax (901) 425-9726

Phone(713) 628-8199

Fax(901) 425-9726

Organization SubpartNo

Authorized OfficialCharles Randale FrithOperations Manager · (318) 527-9322

Enumeration DateOctober 30, 2024

NPPES CertifiedOctober 30, 2024

✔ NPI 1811719834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

1661 INTERNATIONAL DR STE 400, Memphis, TN 38120

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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 SINGLE 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)

Pediatric Psychiatric Professional Llc 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 Pediatric Psychiatric Professional LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nga Huynh, MD

Psychiatry

NPI 1679716013

1661 INTERNATIONAL DR STE 400
Memphis, TN 38120

(901) 720-5101

✔ PECOSSame address

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

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 Psychiatric Professional LLC's NPI number?

The NPI number for Pediatric Psychiatric Professional LLC is 1811719834. It was assigned to this organization in the NPPES registry on October 30, 2024.

Where is Pediatric Psychiatric Professional LLC located?

Pediatric Psychiatric Professional LLC is located at 1661 International Dr Ste 400, Memphis, TN 38120. The listed phone number is (713) 628-8199.

What is Pediatric Psychiatric Professional LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Pediatric Psychiatric Professional LLC enrolled in Medicare?

Yes. Pediatric Psychiatric Professional LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatric Psychiatric Professional LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Pediatric Psychiatric Professional LLC. 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.

When was this NPI record last updated?

The NPPES record for Pediatric Psychiatric Professional LLC was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.