Pediatric Haven
Pediatric Haven is a healthcare organization registered as Adolescent and Children Mental Health Clinic/Center in Madison, MS, holding Type 2 (organization) NPI 1043858053 since 2019. The authorized official on file is Jetuwan Brown, Managing Partner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043858053 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pediatric Haven |
| Other name | <Unavail> |
| Practice address | 102 LEXINGTON DR, Madison, MS, 39110 |
| Phone | 6014996696 |
| Fax | 6014996696 |
| Enumeration date | 2019-12-20 |
| Last updated in NPPES | 2024-01-04 |
Authorized official
| Name | Jetuwan Brown |
|---|---|
| Title | Managing Partner |
| Phone | 6016222997 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM3000X | Medically Fragile Infants and Children Day Care | Secondary | — | — |
| 3140N1450X | Pediatric Skilled Nursing Facility | Secondary | — | — |
| 103K00000X | Behavior Analyst | Secondary | — | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | Secondary | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Secondary | — | — |
| 385HR2055X | Child Mental Illness Respite Care | Secondary | — | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | Secondary | — | — |
| 385HR2065X | Child Physical Disabilities Respite Care | Secondary | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Pediatric Haven NPI: 1043858053 Taxonomy: 261QM0855X (Adolescent and Children Mental Health Clinic/Center) Address: 102 LEXINGTON DR, Madison, MS, 39110
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1417491507 | Ashley Parsons | Individual | Occupational Therapist | Madison, MS |
Verify this record
Cross-check NPI 1043858053 against the authoritative CMS record: view Pediatric Haven 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
How current is this record?
Where is Pediatric Haven located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2024-01-04.