Kristi Mong, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

591034 Issued in MS

Practice address

213 Henderson Ave
Pass Christian, MS 39571-4309

Phone

(228) 300-8819

NPI assigned

May 14, 2019

Last updated

Dec 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mind Works Therapy PLLCGroup PAC ID 8325451321, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mind Works Therapy PLLC

  dba Mind Works Psychologists

  • Psychologist
  • Pass Christian, MS
  • NPI 1629601927
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1821654807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24505 MARE POINT DR",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395713302",
            "telephone_number": "228-563-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HENDERSON AVE",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395714309",
            "telephone_number": "228-300-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONG",
        "first_name": "KRISTI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "591034",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MS",
            "license": "591034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind Repose LLC (The Historic Blue Rose Recovery Mansion)
• Mind Works Therapy PLLC (Mind Works Psychologists)
• Mission Nutrition, L.L.C.
• Mississippi Dental Arts
• Mississippi Superior Senior Services (Right at Home)
• Michael Mong, PH.D., BCBA-D, LBA
• Dominica Montano, LCSW
• Shellely Jon Moore, DNP
• Shayla Morgan, RN
• Felicia Morris, OMT

• Psychologist in Pass Christian, MS
• Providers in Pass Christian, MS by specialty
• Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.