Mississippi Center for Autism and Related Developmental Disabilities
NPI 1891084414 · Psychologist · Diberville, MS
Mississippi Center for Autism and Related Developmental Disabilities is a Psychologist organization in Diberville, MS (NPI 1891084414).
Provider details
- NPI number
- 1891084414
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Aimee Tisdale, Program Director(228) 806-9936
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- School Psychologist103TS0200X
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs 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
- 2011-04-04
- Last updated
- 2011-04-04
Frequently asked questions
- What is Mississippi Center for Autism and Related Developmental Disabilities's NPI number?
- Mississippi Center for Autism and Related Developmental Disabilities's National Provider Identifier (NPI) is 1891084414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mississippi Center for Autism and Related Developmental Disabilities?
- Mississippi Center for Autism and Related Developmental Disabilities is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Mississippi Center for Autism and Related Developmental Disabilities located?
- Mississippi Center for Autism and Related Developmental Disabilities's practice location on file with NPPES is 4061 Suzanne Dr, Diberville, MS 39540-3735.
- What is Mississippi Center for Autism and Related Developmental Disabilities's phone number?
- The practice phone number listed in the NPPES registry for Mississippi Center for Autism and Related Developmental Disabilities is (228) 396-4434.
- Who is the authorized official for Mississippi Center for Autism and Related Developmental Disabilities?
- The authorized official listed on Mississippi Center for Autism and Related Developmental Disabilities's NPPES record is Aimee Tisdale, Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mississippi Center for Autism and Related Developmental Disabilities's NPI active?
- Yes — Mississippi Center for Autism and Related Developmental Disabilities's NPI (1891084414) is active in the NPPES registry as of the last update on 2011-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.