DR. MOLLIE WYATT PH.D.
NPI 1497968911
Psychologist in Jackson, MS

Active since May 08, 2007PECOS EnrolledAccepts Medicare Assignment
2525 LAKEWARD DR STE 110, JACKSON, MS 39216(601) 981-8873 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mollie Wyatt Ph.d. NPPES

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

DR. MOLLIE WYATT PH.D. (NPI 1497968911) is an individual psychologist in Jackson, Mississippi, licensed in Mississippi (305) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1497968911
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MOLLIE WYATTCredential: PH.D.
Location Address2525 LAKEWARD DR STE 110Jackson, MS 39216-4827
Mailing Address2525 Lakeward Dr Ste 110Jackson, MS 39216-4827 · (601) 981-8873
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateMay 8, 2007
Last NPPES UpdateDecember 29, 2025
NPPES CertifiedDecember 29, 2025
NPI 1497968911 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 · 305
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.
2525 LAKEWARD DR STE 110, Jackson, MS 39216

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mollie Wyatt Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719341619
PECOS Enrollment IDI20230911003808
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
2525 LAKEWARD DR STE 110
JACKSON, MS 39216

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 Mollie Wyatt's NPI number?

The NPI number for Mollie Wyatt is 1497968911. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Mollie Wyatt located?

Mollie Wyatt practices at 2525 Lakeward Dr Ste 110, Jackson, MS 39216. The listed phone number is (601) 981-8873.

What is Mollie Wyatt's specialty?

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

Is Mollie Wyatt enrolled in Medicare?

Yes. Mollie Wyatt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mollie Wyatt accept?

Health plans from Blue Cross and Blue Shield of Alabama list Mollie Wyatt 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 Mollie Wyatt was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.