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Organization

Pediatric Haven

NPI Record: ActiveClinic/Center — Adolescent and Children Mental Health
NPI1043858053
Madison, Mississippi

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 identified

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

Not checked

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.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Clinic/Center

    Adolescent and Children Mental Health

    Ambulatory Health Care Facilities

    Primary

    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 103K00000X
  • Clinic/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 261QD1600X
  • Clinic/Center

    Mental Health (Including Community Mental Health Center)

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QM0801X
  • Clinic/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 261QM3000X
  • Skilled 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 3140N1450X
  • Respite 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 385HR2055X
  • Respite 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 385HR2060X
  • Respite 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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