Active NPI
Seacoast Psycholocial Associates, Inc.
- Clinical Social Worker
- Biloxi, MS
National Provider Identifier
1710107438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C0914
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 26352 | MS | |
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00017976 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatry Physician
- Biloxi, MS
- NPI 1639391097
-
- Child & Adolescent Psychiatry Physician
- Biloxi, MS
- NPI 1073533196
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.