Active NPI
Anchor Psychology Center, PLLC
- Psychologist
- Ocean Springs, MS
National Provider Identifier
1588905939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 46-802
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03950571 | Medicaid | MS | |
| 512I680027 | Other | MS | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Counseling Psychologist
- Parker, CO
- NPI 1194761569
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.