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: August 02, 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

Other Providers at the Same Location NPPES 7

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

NERCHER OLDER ADULT COMMUNITY RESOURCE

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization