Organization Active NPI

Anchor Psychology Center, PLLC

  • Psychologist
  • Ocean Springs, MS
National Provider Identifier
1588905939
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
46-802 Issued in MS
Legal business name
ANCHOR PSYCHOLOGY CENTER, PLLC
Practice address
2112 Bienville Blvd Ste J
Ocean Springs, MS 39564-3067
Phone
(228) 875-1590
Fax
(228) 875-1591
NPI assigned
Mar 11, 2013
Last updated
Jan 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Ruth M Shoemaker, PHD, PHD
Title
Principle
Phone
(228) 875-1590

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1728 MS
Professional Counselor 101YP2500X 1977 MS
Psychologist 103T00000X 53938 MS
Psychologist 103T00000X 46-802 MS Primary
Marriage & Family Therapist 106H00000X T0437 MS

Addresses

Primary practice location

2112 Bienville Blvd Ste J
Ocean Springs, MS 39564-3067

Mailing address

2112 Bienville Blvd Ste J
Ocean Springs, MS 39564-3067
Phone (228) 875-1590

Other identifiers 2

IdentifierTypeStateIssuer
03950571MedicaidMS
512I680027OtherMSMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

2112 Bienville Blvd
Ste J
Ocean Springs, MS 39564
Phone (228) 875-1590

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1588905939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 BIENVILLE BLVD STE J",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643067",
            "telephone_number": "228-875-1590",
            "fax_number": "228-875-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 BIENVILLE BLVD STE J",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643067",
            "telephone_number": "228-875-1590",
            "fax_number": "228-875-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR PSYCHOLOGY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER, PHD",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "228-875-1590",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1728",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1977",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MS",
            "license": "53938",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MS",
            "license": "46-802",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MS",
            "license": "T0437",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03950571",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "512I680027",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.