Active NPI
Little and Associates LLC
- Clinical Psychologist
- Southaven, MS
National Provider Identifier
1871749200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 31-465
- Legal business name
- LITTLE AND ASSOCIATES LLC
- Practice address
- 8830 Centre St
Suite 5
Southaven, MS 38671-2609 - Phone
- (662) 510-3986
- Fax
- (662) 510-3988
- NPI assigned
- Aug 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul Howard Day
- Title
- General Manager
- Phone
- (662) 510-3986
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 31-465 | MS | Primary |
| Clinical Psychologist | 103TC0700X | P0000001384 | TN |
Addresses
Primary practice location
8830 Centre St
Suite 5
Southaven, MS 38671-2609
Mailing address
8830 Centre St
Suite 5
Southaven, MS 38671-2609
Phone (662) 510-3986
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680000164 | Other | MS | MEDICARE PTEN |
| 510G700396 | Other | MEDICARE - LA PTAN | |
| 512I680050 | Other | MEDICARE - LA MLH PTAN | |
| 00114932 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
8830 Centre St
Ste 5
Southaven, MS 38671
Phone (662) 510-2523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227657600000",
"number": "1871749200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8830 CENTRE ST",
"address_2": "SUITE 5",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386712609",
"telephone_number": "662-510-3986",
"fax_number": "662-510-3988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8830 CENTRE ST",
"address_2": "SUITE 5",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386712609",
"telephone_number": "662-510-3986",
"fax_number": "662-510-3988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE AND ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-18",
"last_updated": "2008-11-26",
"status": "A",
"authorized_official_last_name": "DAY",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "HOWARD",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "662-510-3986",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MS",
"license": "31-465",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P0000001384",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTEN",
"identifier": "680000164",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - LA PTAN",
"identifier": "510G700396",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - LA MLH PTAN",
"identifier": "512I680050",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00114932",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.