Individual provider Active NPI

Joseph Morris Alexander, PHD

  • Psychologist
  • Tupelo, MS
National Provider Identifier
1942248208
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
28402 Issued in MS
Practice address
144 S Thomas St
Ste 104a
Tupelo, MS 38801-5312
Phone
(662) 321-3321
NPI assigned
Jun 2, 2006
Last updated
Dec 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 28402 MS Primary

Addresses

Primary practice location

144 S Thomas St
Ste 104a
Tupelo, MS 38801-5312

Mailing address

144 S Thomas St
Ste 104a
Tupelo, MS 38801-5312
Phone (662) 321-3321

Other identifiers 1

IdentifierTypeStateIssuer
07086584MedicaidMS

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
I20040415000934 MS Practitioner - Clinical Psychologist 8729073291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4579 S Eason Blvd
Suite a
Tupelo, MS 38801-6539
Phone (662) 377-6161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28402MSMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center, Inc. Psychologist CurrentSince Jan 20, 2025 Accepting new patients
North Mississippi Medical Center Inc Psychologist Current Accepting new patients
Joy Johnson Counseling PLLC Past Accepting new patients
Brian Thomas Psy D PLLC PastSince Jul 27, 2014 Accepting new patients

Locations

4579 S Eason Blvd
Ste A
Tupelo, MS 38801
Phone (662) 377-6161

808 Varsity Dr
Tupelo, MS 38801
Phone (662) 377-2386

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1942248208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S THOMAS ST",
            "address_2": "STE 104A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015312",
            "telephone_number": "662-321-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S THOMAS ST",
            "address_2": "STE 104A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015312",
            "telephone_number": "662-321-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "JOSEPH",
        "middle_name": "MORRIS",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MS",
            "license": "28402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07086584",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.