NPIMap

Organization Active NPI

Kathleen Patterson, PHD, PLLC

  • Clinical Psychologist
  • Magee, MS
National Provider Identifier
1346693058
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33-514 Issued in MS
Legal business name
KATHLEEN PATTERSON, PHD, PLLC
Practice address
1119 1St Ave NE
Magee, MS 39111-3111
Phone
(601) 466-8141
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathleen Patterson, PHD
Title
Clinical Psychologist/Owner
Phone
(601) 466-8141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 33-514 MS Primary

Addresses

Primary practice location

1119 1St Ave NE
Magee, MS 39111-3111

Mailing address

PO Box 215
Magee, MS 39111-0215
Phone (601) 466-8141

Other identifiers 1

IdentifierTypeStateIssuer
501719OtherMSMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1346693058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391110215",
            "telephone_number": "601-466-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 1ST AVE NE",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113111",
            "telephone_number": "601-466-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN PATTERSON, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "601-466-8141",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "33-514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "501719",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magee, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.