Active NPI
Joseph R Dunn, PHD
- Psychologist
- Wiggins, MS
National Provider Identifier
1912246265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 16 178
- Practice address
- 510 Bluff Creek Rd
Wiggins, MS 39577-9728 - Phone
- (601) 466-6644
- Fax
- (601) 928-9386
- NPI assigned
- Feb 6, 2013
- Last updated
- Feb 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 16 178 | MS | Primary |
Addresses
Primary practice location
510 Bluff Creek Rd
Wiggins, MS 39577-9728
Mailing address
PO Box 660257
Birmingham, AL 35266-0257
Phone (205) 979-5882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16 178 | MS | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1912246265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660257",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352660257",
"telephone_number": "205-979-5882",
"fax_number": "205-979-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 BLUFF CREEK RD",
"city": "WIGGINS",
"state": "MS",
"postal_code": "395779728",
"telephone_number": "601-466-6644",
"fax_number": "601-928-9386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "JOSEPH",
"middle_name": "R",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-06",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MS",
"license": "16 178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wiggins, MS
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- DSG Enterprises
- Rebecca Lee Dyess, LPTA
- Elite Mississippi Transit Inc
- Elite Mississippi Transportation LLC
- Elite Transit LLC
- James Ryan Ellis, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.