Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mississippi Center for Autism and Related Developmental Disabilities

Organization Psychologist · NPI 1891084414

Mississippi Center for Autism and Related Developmental Disabilities is a Psychologist in Diberville, Mississippi. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
6

Practice location Address checks out

4061 Suzanne Dr Ste C
Diberville, MS 39540-3735
Phone: (228) 396-4434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X
School Psychologist Taxonomy 103TS0200X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1891084414
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aimee Tisdale — Program Director · (228) 806-9936
NPI enumeratedApril 4, 2011
Last updated in NPPESApril 4, 2011
Mailing address4061 Suzanne Dr, Suite C, Diberville, MS 39540-3735