Kathleen S Patterson, PHD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33-514 Issued in MS

Practice address

1119 1St Ave NE
Magee, MS 39111-3111

Phone

(601) 466-8141

NPI assigned

Dec 29, 2005

Last updated

Aug 26, 2016By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Kathleen Patterson, PHD, PLLC

  • Clinical Psychologist
  • Magee, MS
  • NPI 1346693058
  Authorized official Same address or phone

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1831176940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391110215",
            "telephone_number": "601-466-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 1ST AVE NE",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113111",
            "telephone_number": "601-466-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KATHLEEN",
        "middle_name": "S",
        "credential": "PHD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "33-514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• OB/GYN Associates of Magee, P.C.
• Marcus Osborne, ATC; LAT
• Angela Neely Overstreet, DMD
• Carla W Owens
• Patrick J. Pasco, D.O.
• Performance Chiropractic and Rehab, P.C.
• Ashlyn J. Pierce, AUD
• Pioneer Health Services, Inc
• James Shelby Presgraves
• Charles Pruitt, M.D.

• Clinical Psychologist in Magee, MS
• Providers in Magee, MS by specialty
• Clinical Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.