Organization Active NPI

Seacoast Psycholocial Associates, Inc.

  • Clinical Social Worker
  • Biloxi, MS
National Provider Identifier
1710107438
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C0914 Issued in MS
Legal business name
SEACOAST PSYCHOLOCIAL ASSOCIATES, INC.
Practice address
983 Howard Ave
Biloxi, MS 39530-3756
Phone
(228) 435-2673
Fax
(228) 435-2674
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Grad Leo Flick, PH.D.
Title
Director
Phone
(228) 435-2673

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 26352 MS
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C0914 MS Primary

Addresses

Primary practice location

983 Howard Ave
Biloxi, MS 39530-3756

Mailing address

983 Howard Ave
Biloxi, MS 39530-3756
Phone (228) 435-2673

Other identifiers 1

IdentifierTypeStateIssuer
00017976MedicaidMS

National Provider Directory

National Provider Directory

Locations

983 Howard Ave
Biloxi, MS 39530
Phone (228) 435-2673

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1710107438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 HOWARD AVE",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395303756",
            "telephone_number": "228-435-2673",
            "fax_number": "228-435-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 HOWARD AVE",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395303756",
            "telephone_number": "228-435-2673",
            "fax_number": "228-435-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST PSYCHOLOCIAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FLICK",
        "authorized_official_first_name": "GRAD",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "228-435-2673",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "26352",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C0914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00017976",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.