Organization
Pediatric Haven
Provider's NPPES record last updated: January 4, 2024
Overview
- Entity Type
- Organization
- NPI
- 1043858053
- Primary Specialty
- Clinic/Center — Adolescent and Children Mental Health
- Practice Location
- Madison, Mississippi
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 8:00 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Clinic/Center
Adolescent and Children Mental Health
Ambulatory Health Care Facilities
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Taxonomy code 261QM0855X Behavior Analyst
Behavioral Health & Social Service Providers
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Taxonomy code 103K00000XClinic/Center
Developmental Disabilities
Ambulatory Health Care Facilities
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Taxonomy code 261QD1600XClinic/Center
Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QM0801XClinic/Center
Medically Fragile Infants and Children Day Care
Ambulatory Health Care Facilities
An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).
Taxonomy code 261QM3000XSkilled Nursing Facility
Nursing Care, Pediatric
Nursing & Custodial Care Facilities
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
Taxonomy code 3140N1450XRespite Care
Respite Care, Mental Illness, Child
Respite Care Facility
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
Taxonomy code 385HR2055XRespite Care
Respite Care, Intellectual and/or Developmental Disabilities, Child
Respite Care Facility
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
Taxonomy code 385HR2060XRespite Care
Respite Care, Physical Disabilities, Child
Respite Care Facility
A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
Taxonomy code 385HR2065X
Practice Locations
Practice Location
102 Lexington Dr
Madison, Mississippi 39110-6952
Phone: (601) 499-6696
Other Names
- Pediatric Haven Autism CenterReported March 7, 2022
Record Information
- Enumeration Date
- December 20, 2019
- Provider's NPPES Record Last Updated
- January 4, 2024
- Certification Date
- January 4, 2024
- NPISignal NPPES Dataset
- August 2026
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