OrganizationActive
Clinical Neuroscience Group, PLLC
NPI 1710175260 · Psychiatry Physician · Flowood, MS
Provider details
- NPI number
- 1710175260
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Wilkaitis, President(601) 420-7010
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Child & Adolescent Psychiatry Physician2084P0804X
Allopathic & Osteopathic Physicians
Practice location
3531 Lakeland Dr
Suite 1058
Flowood, MS 39232-8049
Phone: (601) 420-7010
Approximate (ZIP-level) locationGet directions
Mailing address
3531 Lakeland Dr
Flowood, MS 39232-8049
Registry dates
- Enumerated
- 2007-10-10
- Last updated
- 2007-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.