Pediatric Psychiatric Professional LLC
NPI 1811719834 · Child & Adolescent Psychiatry Physician · Memphis, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pediatric Psychiatric Professional LLC is a Child & Adolescent Psychiatry Physician organization in Memphis, TN (NPI 1811719834).
Provider details
- NPI number
- 1811719834
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Frith, Operations Manager(318) 527-9322
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-10-30
- Last updated
- 2024-10-30
- Certified
- 2024-10-30
Frequently asked questions
- What is Pediatric Psychiatric Professional LLC's NPI number?
- Pediatric Psychiatric Professional LLC's National Provider Identifier (NPI) is 1811719834, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Psychiatric Professional LLC?
- Pediatric Psychiatric Professional LLC is classified in the NPPES registry as Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Pediatric Psychiatric Professional LLC located?
- Pediatric Psychiatric Professional LLC's practice location on file with NPPES is 1661 International Dr Ste 400, Memphis, TN 38120-1431.
- What is Pediatric Psychiatric Professional LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Psychiatric Professional LLC is (713) 628-8199.
- Does Pediatric Psychiatric Professional LLC accept Medicare?
- Pediatric Psychiatric Professional LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pediatric Psychiatric Professional LLC?
- The authorized official listed on Pediatric Psychiatric Professional LLC's NPPES record is Charles Frith, Operations Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Psychiatric Professional LLC's NPI active?
- Yes — Pediatric Psychiatric Professional LLC's NPI (1811719834) is active in the NPPES registry as of the last update on 2024-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.