Organization Active NPI

Prohealth Solutions

  • Clinical Psychologist
  • Picayune, MS
National Provider Identifier
1992924625
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
44-713 Issued in MS
Legal business name
PROHEALTH SOLUTIONS
Practice address
703 W Canal St
Picayune, MS 39466-3918
Phone
(601) 749-9477
Fax
(601) 889-1265
NPI assigned
Apr 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rodney David Hesson, PSY.D.NPI 1861584195
Title
Director
Phone
(601) 749-9477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 44-713 MS Primary

Addresses

Primary practice location

703 W Canal St
Picayune, MS 39466-3918

Mailing address

703 W Canal St
Picayune, MS 39466-3918
Phone (601) 749-9477

Other identifiers 1

IdentifierTypeStateIssuer
05708224MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Prohealth Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992924625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 W CANAL ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663918",
            "telephone_number": "601-749-9477",
            "fax_number": "601-889-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 W CANAL ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663918",
            "telephone_number": "601-749-9477",
            "fax_number": "601-889-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HESSON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-749-9477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "44-713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05708224",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.