Joanne Prindel Calhoun, PH.D.

Individual provider Active NPI Clinical Psychologist · Ocean Springs, MS

NPI 1013069285 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1013069285
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
19-220 (MS)
Practice address
904 Desoto St
Ocean Springs, MS 39564-3737
Phone
(228) 872-8429
Fax
(228) 872-0226
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
19-220MSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Psychology Center, PC Clinical Past
since Jan 1, 2008
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 19-220 MS Yes

Addresses

Primary practice location

904 Desoto St
Ocean Springs, MS 39564-3737

Mailing address

2472 Pass Rd
Biloxi, MS 39531-2838
Phone (228) 388-9303

Other identifiers

IdentifierTypeStateIssuer
30136OtherMSNATIONAL REGISTER
00110022MedicaidMS

Other providers in Ocean Springs, MS

All providers in Ocean Springs, MS · Clinical Psychologist in Mississippi

Sources for this page

Verify at the official NPI Registry.