MAGNOLIA PSYCHIATRIC PA
NPI 1306031752
Psychologist in Ocean Springs, MS

Active since September 10, 2007
2124 GOVERNMENT ST, OCEAN SPRINGS, MS 39564(228) 818-9050(228) 872-6300 Get Directions Write a Review

NPPES record last updated: September 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Magnolia Psychiatric Pa NPPES

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

MAGNOLIA PSYCHIATRIC PA (NPI 1306031752) is a healthcare organization registered as a psychologist in Ocean Springs, Mississippi and active in the NPI registry since September 2007. The organization lists Tracey L Mattina, Manager, as its authorized official.

NPPES Registry Identity

NPI1306031752
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMAGNOLIA PSYCHIATRIC PA
Location Address2124 GOVERNMENT STOcean Springs, MS 39564-3937
Mailing Address2124 Government StOcean Springs, MS 39564-3937 · (228) 818-9050 · Fax (228) 872-6300
Fax(228) 872-6300
Organization SubpartNo
Authorized OfficialTracey L MattinaManager · (228) 818-0563
Enumeration DateSeptember 10, 2007
NPI 1306031752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MS · 18977
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

2124 GOVERNMENT ST, Ocean Springs, MS 39564

Other Identifiers 1

Medicare UPINI45088MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Psychologist (Counseling)
2124 GOVERNMENT ST
OCEAN SPRINGS, MS 39564
Psychiatry & Neurology (Psychiatry)
2124 GOVERNMENT ST
OCEAN SPRINGS, MS 39564
Counselor (Mental Health)
2124 GOVERNMENT ST
OCEAN SPRINGS, MS 39564
Counselor (Mental Health)
2124 GOVERNMENT ST
OCEAN SPRINGS, MS 39564
Clinic/Center (Adult Mental Health)
2124 GOVERNMENT ST
OCEAN SPRINGS, MS 39564
Counselor (Professional)
2124 GOVERNMENT ST
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 Magnolia Psychiatric PA's NPI number?

The NPI number for Magnolia Psychiatric PA is 1306031752. It was assigned to this organization in the NPPES registry on September 10, 2007.

Where is Magnolia Psychiatric PA located?

Magnolia Psychiatric PA is located at 2124 Government St, Ocean Springs, MS 39564. The listed phone number is (228) 818-9050.

What is Magnolia Psychiatric PA's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Magnolia Psychiatric PA was last updated on September 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.