Organization · Type 2 NPI

ST Dominic Medical Associates LLC

Psychiatry Physician · Jackson, MS

NPI number 1386708188 Active

Practice location

969 Lakeland Dr, St Thomas Hall
Jackson, MS 39216-4606

Call (601) 200-3110 Map

Fax (601) 200-3109

Mailing address

PO Box 23666
Jackson, MS 39225-3666

Other practice locations

810 E Sunflower Rd Ste 100J, Cleveland, MS 38732-2828 · (601) 200-3100
2969 Curran Dr N, Jackson, MS 39216-4121 · (601) 200-3100

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist	103TC0700X	None listed
Clinical Social Worker	1041C0700X	None listed
Psychiatry Physician Primary	2084P0800X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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NPI record

NPI: 1386708188
Entity type: Organization (Type 2)
Issued: Dec 19, 2006
Last updated: Aug 11, 2021
Status: Active

Other names

<unavail>
Behavioral Health Associates · doing business as
St. Dominic Psychiatric Associates · doing business as

Authorized official

Danielle Stuart
Credentialing Specialist
(601) 200-4880

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386708188

ST Dominic Medical Associates LLC's National Provider Identifier is 1386708188, issued on Dec 19, 2006. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Jackson, MS. The record was last updated on Aug 11, 2021.