1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Psychologist
  6. NPI Profile

LIVE OAK PSYCHOLOGICAL ASSOCITAES
NPI 1750577805
Psychologist - Clinical in Jackson, MS

Active since September 22, 2007
1151 N STATE ST, STE 212, JACKSON, MS 39202(601) 352-7398(601) 352-0442 Get Directions Write a Review

NPPES record last updated: September 22, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Live Oak Psychological Associtaes NPPES

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

LIVE OAK PSYCHOLOGICAL ASSOCITAES (NPI 1750577805) is a healthcare organization registered as a clinical in Jackson, Mississippi and active in the NPI registry since September 2007. The organization lists Lisa Halderman Dieth, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1750577805
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLIVE OAK PSYCHOLOGICAL ASSOCITAES
Location Address1151 N STATE ST, STE 212Jackson, MS 39202-2407
Mailing Address1151 N State St, Ste 212Jackson, MS 39202-2407 · (601) 352-7398 · Fax (601) 352-0442
Phone(601) 352-7398
Fax(601) 352-0442
Organization SubpartNo
Authorized OfficialLisa Halderman DiethOffice Manager · (601) 352-7398
Enumeration DateSeptember 22, 2007
✔ NPI 1750577805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1151 N STATE ST, Jackson, MS 39202
Open in Google Maps ↗

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 20

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

DR. MICHAEL GARRET SHUMAKER PSY.D.
Psychologist
1151 N STATE ST
JACKSON, MS 39202
Hinds County (601) 352-7398
SARAH R. GUY MD
Anesthesiology
1151 N STATE ST, SUITE 311
JACKSON, MS 39202
Hinds County (601) 969-1171
DOUGLAS A EVANS MD
Anesthesiology
1151 N STATE ST, SUITE 311
JACKSON, MS 39202
Hinds County (601) 969-1171
JACKSON LUNG CLINIC
Internal Medicine (Pulmonary Disease)
1151 N STATE ST, SUITE 301
JACKSON, MS 39202
Hinds County (601) 352-0041
DEREK E MARSHALL MD
Anesthesiology
1151 N STATE ST, SUITE 311
JACKSON, MS 39202
Hinds County (601) 969-1171
JOYCE D WADE PULMONARY & SLEEP SPECIALIST
Internal Medicine (Pulmonary Disease)
1151 N STATE ST, SUITE 301
JACKSON, MS 39202
Hinds County (601) 936-6001
GARLAND KLINE MILNER MD
Anesthesiology
1151 N STATE ST, SUITE 311
JACKSON, MS 39202
Hinds County (601) 969-1171
SCOTT H MCLEOD MD
Anesthesiology
1151 N STATE ST, SUITE 311
JACKSON, MS 39202
Hinds County (601) 969-1171

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 Live Oak Psychological Associtaes's NPI number?

The NPI number for Live Oak Psychological Associtaes is 1750577805. It was assigned to this organization in the NPPES registry on September 22, 2007.

Where is Live Oak Psychological Associtaes located?

Live Oak Psychological Associtaes is located at 1151 N State St Ste 212, Jackson, MS 39202. The listed phone number is (601) 352-7398.

What is Live Oak Psychological Associtaes's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Live Oak Psychological Associtaes was last updated on September 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.