Magnolia Psychiatric PA
NPI 1306031752ActiveOrganization· Psychologist· Ocean Springs, MS
Psychologist in Ocean Springs, Mississippi, registered in NPPES in September 2007. The authorized official on file is Tracey L. Mattina, Manager.
Overview
| NPI | 1306031752 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 10, 2007 |
| Last updated in NPPES | Sep 10, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 18977 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Psychologist providers in Ocean Springs
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- 1477712198
- 1427890151