OrganizationActive
Upa PLLC Ped Psychology
NPI 1467505222 · Cognitive & Behavioral Psychologist · Jackson, MS
Provider details
- NPI number
- 1467505222
- Entity type
- Organization
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Owen Evans, Manager(601) 984-5214
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5274
Street-level locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.