MISSISSIPPI CENTER FOR AUTISM AND RELATED DEVELOPMENTAL DISABILITIES
NPI 1891084414
Psychologist in Diberville, MS

Active since April 04, 2011
4061 SUZANNE DR, SUITE C, DIBERVILLE, MS 39540(228) 396-4434 Get Directions Write a Review

NPPES record last updated: April 4, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mississippi Center For Autism And Related Developmental Disabilities NPPES

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

MISSISSIPPI CENTER FOR AUTISM AND RELATED DEVELOPMENTAL DISABILITIES (NPI 1891084414) is a healthcare organization registered as a psychologist in Diberville, Mississippi and active in the NPI registry since April 2011. The organization lists Aimee M Tisdale, Program Director, as its authorized official.

NPPES Registry Identity

NPI1891084414
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMISSISSIPPI CENTER FOR AUTISM AND RELATED DEVELOPMENTAL DISABILITIES
Location Address4061 SUZANNE DR, SUITE CDiberville, MS 39540-3735
Mailing Address4061 Suzanne Dr, Suite CDiberville, MS 39540-3735 · (228) 396-4434
Organization SubpartNo
Authorized OfficialAimee M TisdaleProgram Director · (228) 806-9936
Enumeration DateApril 4, 2011
NPI 1891084414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedPsychologist · SchoolTaxonomy 103TS0200X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
4061 SUZANNE DR, Diberville, MS 39540

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

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Behavior Technician
4061 SUZANNE DR
DIBERVILLE, MS 39540
Psychologist (School)
4061 SUZANNE DR, SUITE C & C
DIBERVILLE, MS 39540
Behavior Analyst
4061 SUZANNE DR
DIBERVILLE, MS 39540
Psychologist (School)
4061 SUZANNE DR
DIBERVILLE, MS 39540
Behavior Analyst
4061 SUZANNE DR, SUITE C AND D
DIBERVILLE, MS 39540
Behavior Technician
4061 SUZANNE DR
DIBERVILLE, MS 39540

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 Mississippi Center For Autism And Related Developmental Disabilities's NPI number?

The NPI number for Mississippi Center For Autism And Related Developmental Disabilities is 1891084414. It was assigned to this organization in the NPPES registry on April 4, 2011.

Where is Mississippi Center For Autism And Related Developmental Disabilities located?

Mississippi Center For Autism And Related Developmental Disabilities is located at 4061 Suzanne Dr Suite C, Diberville, MS 39540. The listed phone number is (228) 396-4434.

What is Mississippi Center For Autism And Related Developmental Disabilities's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

What insurance does Mississippi Center For Autism And Related Developmental Disabilities accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Mississippi Center For Autism And Related Developmental Disabilities as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mississippi Center For Autism And Related Developmental Disabilities was last updated on April 4, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.