| Psychology Associates, Llc | |
|
5004 Hwy 39 N Meridian MS 39301-1021 | |
| (601) 693-8307 | |
| Not Available |
| Full Name | Psychology Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5004 Hwy 39 N, Meridian, Mississippi |
| Authorized Official Name and Position | Sandra Mackrell (OFFICE MANAGER) |
| Authorized Official Contact | 6016938307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology Associates, Llc 5004 Hwy 39 N Meridian MS 39301-1021 Ph: (601) 693-8307 | Psychology Associates, Llc 5004 Hwy 39 N Meridian MS 39301-1021 Ph: (601) 693-8307 |
| NPI Number | 1336335546 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 09/20/2007 |
| Medicare PECOS PAC ID | 9739356684 |
|---|---|
| Medicare Enrollment ID | O20120118000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336335546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Patricia L Dudley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124234307 PECOS PAC ID: 4183613185 Enrollment ID: I20040506000729 |
| Provider Name | Stacy R Andreacchio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700865235 PECOS PAC ID: 2769450006 Enrollment ID: I20040923000709 |
| Provider Name | Angela M Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750332581 PECOS PAC ID: 6406869270 Enrollment ID: I20060724000348 |
| Provider Name | Patricia M Sandusky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881673317 PECOS PAC ID: 6800062985 Enrollment ID: I20120328001037 |
| Provider Name | Lindsey Stevens Blount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760906846 PECOS PAC ID: 0446524599 Enrollment ID: I20170928000261 |
| Provider Name | James L Gilbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457386161 PECOS PAC ID: 4880630284 Enrollment ID: I20231205001632 |
| Provider Name | Jennifer F Whitcomb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558382101 PECOS PAC ID: 7416188388 Enrollment ID: I20231228002395 |
| Provider Name | Daniel Edward Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164406534 PECOS PAC ID: 5496177024 Enrollment ID: I20240311002358 |
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