NPIMap

Organization Active NPI

Scott Willoughby, PHD, LLC

  • Clinical Psychologist
  • Hattiesburg, MS
National Provider Identifier
1982981247
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
41-003 Issued in MS
Legal business name
SCOTT WILLOUGHBY, PHD, LLC
Practice address
1 Commerce Dr
Suite 205
Hattiesburg, MS 39402-1499
Phone
(601) 466-1970
NPI assigned
Nov 14, 2011
Last updated
Nov 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Dr. Scott Willoughby, PHDNPI 1699718635
Title
Member
Phone
(601) 466-1970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 41-003 MS Primary

Addresses

Primary practice location

1 Commerce Dr
Suite 205
Hattiesburg, MS 39402-1499

Mailing address

PO Box 16954
Hattiesburg, MS 39404-6954
Phone (601) 466-1970

National Provider Directory

National Provider Directory

Locations

140 Mayfair Rd
Ste 300
Hattiesburg, MS 39402
Phone (601) 271-7707

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1982981247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16954",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394046954",
            "telephone_number": "601-466-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMMERCE DR",
            "address_2": "SUITE 205",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021499",
            "telephone_number": "601-466-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT WILLOUGHBY, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "WILLOUGHBY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "601-466-1970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "41-003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.