PHOENIX BEHAVIORAL HEALTH CENTER, PLLC
NPI 1093366775
Psychologist - Health in Ocean Springs, MS

Active since September 24, 2019
2112 BIENVILLE BLVD STE K, OCEAN SPRINGS, MS 39564(228) 819-2171(228) 205-4986 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2024, Aug 8, 2022, Feb 1, 2022 and 3 more (6 updates tracked since 2019).

About Phoenix Behavioral Health Center, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX BEHAVIORAL HEALTH CENTER, PLLC (NPI 1093366775) is a healthcare organization registered as a health in Ocean Springs, Mississippi and active in the NPI registry since September 2019. The organization lists Kathryn Kim Waggoner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093366775
Entity TypeOrganization
Primary Taxonomy103TH0004X
Legal Business NamePHOENIX BEHAVIORAL HEALTH CENTER, PLLC
Location Address2112 BIENVILLE BLVD STE KOcean Springs, MS 39564-3067
Mailing Address2112 Bienville Blvd Ste KOcean Springs, MS 39564-3067 · (228) 819-2171 · Fax (833) 779-1879
Fax(228) 205-4986
Organization SubpartNo
Authorized OfficialKathryn Kim WaggonerCeo · (228) 819-2171
Enumeration DateSeptember 24, 2019
Last NPPES UpdateJune 10, 20246 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
NPI 1093366775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPsychologist · HealthBehavioral Health & Social Service Providers
Taxonomy Code103TH0004X
Definition

A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:<ul><li>

Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
2112 BIENVILLE BLVD STE K, Ocean Springs, MS 39564

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
2112 BIENVILLE BLVD STE K
OCEAN SPRINGS, MS 39564
Counselor (Professional)
2112 BIENVILLE BLVD STE K
OCEAN SPRINGS, MS 39564
Counselor
2112 BIENVILLE BLVD STE K
OCEAN SPRINGS, MS 39564
Psychologist (Health)
2112 BIENVILLE BLVD STE K
OCEAN SPRINGS, MS 39564
Social Worker
2112 BIENVILLE BLVD STE K
OCEAN SPRINGS, MS 39564

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Behavioral Health Center, PLLC's NPI number?

The NPI number for Phoenix Behavioral Health Center, PLLC is 1093366775. It was assigned to this organization in the NPPES registry on September 24, 2019.

Where is Phoenix Behavioral Health Center, PLLC located?

Phoenix Behavioral Health Center, PLLC is located at 2112 Bienville Blvd Ste K, Ocean Springs, MS 39564. The listed phone number is (228) 819-2171.

What is Phoenix Behavioral Health Center, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

What insurance does Phoenix Behavioral Health Center, PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Phoenix Behavioral Health Center, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phoenix Behavioral Health Center, PLLC was last updated on June 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.