Psycamore, LLC
Psycamore, LLC is a healthcare organization registered as Mental Health Clinic/Center (Including Community Mental Health Center) in Southaven, MS, holding Type 2 (organization) NPI 1043465040 since 2008. The authorized official on file is Kimberly Lichte-Madakasira, Vice-President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043465040 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Psycamore, LLC |
| Practice address | 7165 GETWELL RD, BUILDING 3, SUITE 1 & 2, Southaven, MS, 38672 |
| Phone | 8007792448 |
| Fax | 6019935935 |
| Enumeration date | 2008-11-19 |
| Last updated in NPPES | 2008-11-19 |
Authorized official
| Name | Kimberly Lichte-Madakasira |
|---|---|
| Title | Vice-President |
| Phone | 6019395993 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Primary | — | — |
Copy-ready billing details
Provider: Psycamore, LLC NPI: 1043465040 Taxonomy: 261QM0801X (Mental Health Clinic/Center (Including Community Mental Health Center)) Address: 7165 GETWELL RD, BUILDING 3, SUITE 1 & 2, Southaven, MS, 38672
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1831386747 | Jerry Hamilton | Individual | Clinical Social Worker | Southaven, MS |
| 1073798781 | Jeff Cunningham | Individual | Otolaryngology Physician | Southaven, MS |
| 1790006674 | Northwest Mississippi Otolaryngology Head & Neck Surgery, LLC | Organization | Otolaryngology Physician | Southaven, MS |
| 1770886012 | Psycamore LLC | Organization | Adult Mental Health Clinic/Center | Southaven, MS |
| 1659653012 | Sarah Williams | Individual | Audiologist | Southaven, MS |
| 1427495571 | Hannah Giles | Individual | Speech-Language Pathologist | Southaven, MS |
| 1750895199 | Kyle Routh | Individual | Mental Health Counselor | Southaven, MS |
| 1184582280 | Magnolia Speech Therapy of Mississippi | Organization | Hearing and Speech Clinic/Center | Southaven, MS |
Verify this record
Cross-check NPI 1043465040 against the authoritative CMS record: view Psycamore, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Psycamore, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-11-19.