IndividualActive
John Waggoner, PSY.D.
NPI 1710040886 · Psychologist · Keesler Afb, MS
John Waggoner, PSY.D. is a Psychologist provider in Keesler Afb, MS (NPI 1710040886).
Provider details
- NPI number
- 1710040886
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 601056 (MS)
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
301 Fisher St
Keesler Afb, MS 39534-2508
Phone: (228) 376-0385
Street-level locationGet directions
Mailing address
301 Fisher St
Keesler Afb, MS 39534-2508
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2022-05-24
- Certified
- 2022-05-24
Frequently asked questions
- What is John Waggoner's NPI number?
- John Waggoner's National Provider Identifier (NPI) is 1710040886, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Waggoner's specialty?
- John Waggoner is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is John Waggoner located?
- John Waggoner's practice location on file with NPPES is 301 Fisher St, Keesler Afb, MS 39534-2508.
- What is John Waggoner's phone number?
- The practice phone number listed in the NPPES registry for John Waggoner is (228) 376-0385.
- Is John Waggoner's NPI active?
- Yes — John Waggoner's NPI (1710040886) is active in the NPPES registry as of the last update on 2022-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.