OrganizationActive
Shine Pediatric Psychology Services PLLC
NPI 1982321964 · Adolescent and Children Mental Health Clinic/Center · Meridian, MS
Provider details
- NPI number
- 1982321964
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michelle Boucher-Snodgrass, Licensed Psychologist/Owner(601) 282-5250
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
2449 N Park Dr Ste C
Meridian, MS 39305-2669
Phone: (601) 282-5250
Fax: (601) 286-5305
Approximate (ZIP-level) locationGet directions
Mailing address
2449 N Park Dr Ste C
Meridian, MS 39305-2669
Registry dates
- Enumerated
- 2022-10-20
- Last updated
- 2022-10-20
- Certified
- 2022-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.