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

Pediatric Psychiatric Professional LLC

Organization Child & Adolescent Psychiatry Physician · NPI 1811719834

Pediatric Psychiatric Professional LLC is a Child & Adolescent Psychiatry Physician in Memphis, Tennessee. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1661 International Dr Ste 400
Memphis, TN 38120-1431
Phone: (713) 628-8199
Fax: (901) 425-9726
Show map & directions

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

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X

Record details

NPI number1811719834
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Frith — Operations Manager · (318) 527-9322
NPI enumeratedOctober 30, 2024
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing addressPo Box 17452, Memphis, TN 38187-0452

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