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

ROSCOE L. DOUGLAS, PH.D., P.A.
NPI 1760686299
Psychologist - Clinical in Meridian, MS

Active since June 11, 2007
1207 WHITE OAK DR, MERIDIAN, MS 39305(601) 483-8370(601) 482-4248 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roscoe L. Douglas, Ph.d., P.a. NPPES

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

ROSCOE L. DOUGLAS, PH.D., P.A. (NPI 1760686299) is a healthcare organization registered as a clinical in Meridian, Mississippi and active in the NPI registry since June 2007. The organization lists Roscoe Lormer Douglas, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1760686299
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameROSCOE L. DOUGLAS, PH.D., P.A.
Location Address1207 WHITE OAK DRMeridian, MS 39305-1902
Mailing AddressPo Box 3545Meridian, MS 39303-3545 · (601) 483-8370
Phone(601) 483-8370
Fax(601) 482-4248
Organization SubpartNo
Authorized OfficialRoscoe Lormer DouglasClinical Psychologist · (601) 483-8370
Enumeration DateJune 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1760686299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MS · 139
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.
1207 WHITE OAK DR, Meridian, MS 39305
Open in Google Maps ↗

Other Identifiers 2

Medicaid00017960MS
Other1740494434MS · Npi Indiv Prov Number

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

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

ROSCOE LORMER DOUGLAS PH.D.
Psychologist (Clinical)
1207 WHITE OAK DR
MERIDIAN, MS 39305
Lauderdale County (601) 483-8370

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 Roscoe L. Douglas, Ph.D., P.A.'s NPI number?

The NPI number for Roscoe L. Douglas, Ph.D., P.A. is 1760686299. It was assigned to this organization in the NPPES registry on June 11, 2007.

Where is Roscoe L. Douglas, Ph.D., P.A. located?

Roscoe L. Douglas, Ph.D., P.A. is located at 1207 White Oak Dr, Meridian, MS 39305. The listed phone number is (601) 483-8370.

What is Roscoe L. Douglas, Ph.D., P.A.'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 Roscoe L. Douglas, Ph.D., P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.