WELLNESS CLINIC, P.C. (NPI# 1386860898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386860898 |
| Entity Type | Organization |
| Organization Name | WELLNESS CLINIC, P.C. |
| Practice Address |
5740 Getwell Rd Bldg 4c Southaven MS 38672-6346 |
| Mailing Address |
Po Box 2024 Olive Branch MS 38654-2209 |
| Practice Telephone | 6628925000 |
| Practice Fax Number | 6628925002 |
| Mailing Telephone | 6628925000 |
| Mailing Fax Number | 6628925002 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2011-02-15 |
| Authorized Official Name | SAVIRA V SIDHU (PRESIDENT) |
| Authorized Official Telephone | 6628925000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
MD000025744 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00120361 | 05 | |
| TN | 3725205 | 05 | |
| MS | F95674 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | WELLNESS CLINIC, PLC | 2626 Yorkshire St., Ames, IA 50010 |
| Street Address |
5740 GETWELL RD BLDG 4C |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38672-6346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184796203 | Savira Virk Sidhu | Psychiatry & Neurology | 5740 Getwell Rd, Bldg 4c, Southaven, MS 38672-6346 | 2006-11-14 |
| 1326533175 | The Women's Clinic At The Grove | Clinic/Center | 5740 Getwell Rd, Building 1, Suite B, Southaven, MS 38672 | 2018-06-25 |
| 1205200920 | Abide Endodontics | Clinic/Center | 5740 Getwell Rd, Bldg. 3a, Southaven, MS 38672-6346 | 2015-11-18 |
| 1295995728 | Getwell Chiropractic PC | Chiropractor | 5740 Getwell Rd, Building 4a, Southaven, MS 38672-7326 | 2008-06-09 |
| 1841499340 | Andrew Elias Abide Jr. | Dentist | 5740 Getwell Rd, Bld 3, Unit A, Southaven, MS 38672-6346 | 2007-07-13 |
| 1912114802 | Sleep Unlimited Inc | Clinic/Center | 5740 Getwell Rd, Bldg 6 Suite D, Southaven, MS 38672-6346 | 2007-05-17 |
| 1689710402 | Jennifer B Fredrickson | Nurse Practitioner | 5740 Getwell Rd, Building 1, Suite B, Southaven, MS 38672 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100826 | Sarah Kathryn Pratt | Physical Therapist | 5271 Getwell Road, Suite A, Southaven, MS 38672 | 2020-09-24 |
| 1356713606 | Deadra Dennis | Behavioral Analyst | 2816 Calico Rock Cv, Southaven, MS 38672 | 2015-10-27 |
| 1568727352 | Patricia Leanne Lewis | Family Medicine | 5908 Getwell Rd, Southaven, MS 38672 | 2012-07-09 |
| 1417183922 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2945 Goodman Road East, Southaven, MS 38672 | 2009-06-10 |
| 1568609998 | Susan Orsland | Physical Therapist | 4355 Genevieve Drive, Southaven, MS 38672 | 2009-01-07 |
| 1659516524 | Stacy L Sanders | Audiologist | 5740 Getwell Rd. Building 3 Unit B, Southaven, MS 38672 | 2008-12-08 |
| 1295927226 | Tracey F Petrides | Family Medicine | 5779 Getwell Road, Building D, Suite 3, Southaven, MS 38672 | 2007-08-14 |
| 1538288741 | Bruce A Denney | Dentist | 7125 Getwell Road, Suite 102, Southaven, MS 38672 | 2007-03-28 |
| 1154480150 | Kimberly Marie Metcalf | Social Worker | 7165-g Getwell Rd., Southaven, MS 38672 | 2006-12-06 |
| 1346318441 | Deborah Verucchi | Nurse Practitioner | 5740 Getwell Rd Ste B, Southaven, MS 38672 | 2006-11-30 |
| Find all providers in zip 38672 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447886502 | Rico Smith | Psychologist | 314 E Green St, Macon, MS 39341-2850 | 2020-03-19 |
| 1588846281 | Behavioral Medicine Clinic,pa | Psychologist | 5000 Hwy 39 N, Meridian, MS 39301-1021 | 2007-12-04 |
| 1922374057 | Toni L Ladner | Psychologist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2012-03-22 |
| 1225303068 | Mindful Solution, LLC | Psychologist | 1 Commerce Dr, Suite 205, Hattiesburg, MS 39402-1499 | 2012-03-13 |
| 1790087393 | Jackson Psychiatry Group | Psychologist | 1855 Lakeland Dr, Suite P121, Jackson, MS 39216-4913 | 2010-12-02 |
| 1629378971 | Pmt Clinic | Psychologist | 1855 Lakeland Dr, Suite P101, Jackson, MS 39216-4913 | 2010-11-02 |
| 1558580662 | Beverly Tedford | Psychologist | 601 Foote St, Corinth, MS 38834-4834 | 2007-04-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.