Phoenix Behavioral Health Center, PLLC
NPI 1093366775 · Health Psychologist · Ocean Springs, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phoenix Behavioral Health Center, PLLC is a Health Psychologist organization in Ocean Springs, MS (NPI 1093366775).
Provider details
- NPI number
- 1093366775
- Entity type
- Organization
- Primary specialty
- Health PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kathryn Waggoner, Ceo(228) 819-2171
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-09-24
- Last updated
- 2024-06-10
- Certified
- 2024-06-10
Frequently asked questions
- What is Phoenix Behavioral Health Center, PLLC's NPI number?
- Phoenix Behavioral Health Center, PLLC's National Provider Identifier (NPI) is 1093366775, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Behavioral Health Center, PLLC?
- Phoenix Behavioral Health Center, PLLC is classified in the NPPES registry as Health Psychologist (Behavioral Health & Social Service Providers).
- Where is Phoenix Behavioral Health Center, PLLC located?
- Phoenix Behavioral Health Center, PLLC's practice location on file with NPPES is 2112 Bienville Blvd Ste K, Ocean Springs, MS 39564-3067.
- What is Phoenix Behavioral Health Center, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Behavioral Health Center, PLLC is (228) 819-2171.
- Does Phoenix Behavioral Health Center, PLLC accept Medicare?
- Phoenix Behavioral Health Center, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Phoenix Behavioral Health Center, PLLC?
- The authorized official listed on Phoenix Behavioral Health Center, PLLC's NPPES record is Kathryn Waggoner, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Behavioral Health Center, PLLC's NPI active?
- Yes — Phoenix Behavioral Health Center, PLLC's NPI (1093366775) is active in the NPPES registry as of the last update on 2024-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.