Magnolia Psychiatric Services PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MAGNOLIA PSYCHIATRIC SERVICES PLLC

Practice address

1265 Cliff Gookin Blvd
Tupelo, MS 38801-6749

Phone

(662) 223-3737

Fax

(601) 429-9294

NPI assigned

May 10, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jason Cody Pickett, M.D.NPI 1699138479

Title

Physician

Phone

(662) 223-3737

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jason Cody Pickett, M.D.

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1699138479
  NPD Authorized official

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1740038181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 CLIFF GOOKIN BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016749",
            "telephone_number": "662-223-3737",
            "fax_number": "601-429-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 CLIFF GOOKIN BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016749",
            "telephone_number": "662-223-3737",
            "fax_number": "601-429-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "CODY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "662-223-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lafadra Antonette Macklin, FNP-BC
• Magnolia Hospice, LLC
• Magnolia Manor of Tupelo
• Magnolia Medical, LLC
• Magnolia NA, LLC
• Magnolia Therapy Services
• Saba Mahmoud
• Amita Maibam, M.D.
• Main Street Family Dentistry PA
• Iram Malik

• Adult Mental Health Clinic/Center in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Adult Mental Health Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.