Active NPI
Kristy Disabatino McRaney, PH.D.
- Psychologist
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 129 Golden Eagle Avenue RM 201
Hattiesburg, MS 39406-0001 - Phone
- (601) 266-4588
- Fax
- (601) 266-6928
- NPI assigned
- Sep 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
129 Golden Eagle Avenue RM 201
Hattiesburg, MS 39406-0001
Mailing address
118 College Dr # 5194
Hattiesburg, MS 39406-0001
Phone (601) 266-4588
Other practice location 1
32 Millbranch Rd Ste 40
Hattiesburg, MS 39402-1673
Phone (601) 255-5264
Other practice location 2
12837 Flushing Meadows Dr
Suite 220
Saint Louis, MO 63131-1824
Phone (314) 516-7460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Southern Mississippi | Psychologist | Current | Accepting new patients |
| Curators of the University of Missouri | Past | Accepting new patients |
Locations
129 Golden Eagle Ave
Rm 201
Hattiesburg, MS 39406
Phone (601) 266-4588
118 College Dr
#5194
Hattiesburg, MS 39406
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Hattiesburg, MS
- NPI 1588398424
-
- Community/Behavioral Health Agency
- Town and Country, MO
- NPI 1730695362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1003364472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 COLLEGE DR # 5194",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394060001",
"telephone_number": "601-266-4588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 GOLDEN EAGLE AVENUE RM 201",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394060001",
"telephone_number": "601-266-4588",
"fax_number": "601-266-6928"
}
],
"practiceLocations": [
{
"address_1": "32 Millbranch Rd Ste 40",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394021673",
"country_code": "US",
"telephone_number": "601-255-5264",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12837 Flushing Meadows Dr",
"address_2": "Suite 220",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631311824",
"country_code": "US",
"telephone_number": "314-516-7460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCRANEY",
"first_name": "KRISTY",
"middle_name": "DISABATINO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-14",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.