Individual provider Active NPI

Steven Michael Bishop, PH.D.

  • Clinical Psychologist
  • Oxford, MS
National Provider Identifier
1861576712
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
651227 Issued in MS
Practice address
2708 W Oxford Loop Ste 115
Oxford, MS 38655-5724
Phone
(662) 259-0868
NPI assigned
Oct 25, 2006
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0947 MS
Clinical Psychologist 103TC0700X 651227 MS Primary

Addresses

Primary practice location

2708 W Oxford Loop Ste 115
Oxford, MS 38655-5724

Mailing address

308 Sorano CV
Oxford, MS 38655-9264
Phone (601) 278-6789

Other practice location 1

2508 Lakeland Dr
suite 200
Flowood, MS 39232-9502
Phone (601) 664-0455

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260114000582 MS Practitioner - Clinical Psychologist 2668958257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Autumn Consulting, LLCGroup PAC ID 0042480410, 2 clinicians

Practice addresses (Care Compare)

2708 W Oxford Loop
Suite 115
Oxford, MS 38655-5724
Phone (662) 259-0868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0947MSMDProfessional Counselor
651227MSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Autumn Consulting, LLC Clinical CurrentSince Dec 15, 2025 Accepting new patients
The Shepherd's Staff Past Accepting new patients
Providence Counseling Service, LLC Professional Past Accepting new patients

Locations

2708 West Oxford Loop
Ste 115
Oxford, MS 38655
Phone (662) 259-0868

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1861576712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SORANO CV",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386559264",
            "telephone_number": "601-278-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 W OXFORD LOOP STE 115",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555724",
            "telephone_number": "662-259-0868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2508 Lakeland Dr",
            "address_2": "suite 200",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329502",
            "country_code": "US",
            "telephone_number": "601-664-0455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "0947",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "651227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.