Live Oak Psychological Associtaes
NPI 1750577805 · Clinical Psychologist · Jackson, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Live Oak Psychological Associtaes is a Clinical Psychologist organization in Jackson, MS (NPI 1750577805).
Provider details
- NPI number
- 1750577805
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Dieth, Office Manager(601) 352-7398
Specialties & taxonomies
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
18 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
- 2007-09-22
- Last updated
- 2007-09-22
Frequently asked questions
- What is Live Oak Psychological Associtaes's NPI number?
- Live Oak Psychological Associtaes's National Provider Identifier (NPI) is 1750577805, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Live Oak Psychological Associtaes?
- Live Oak Psychological Associtaes is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Live Oak Psychological Associtaes located?
- Live Oak Psychological Associtaes's practice location on file with NPPES is 1151 N State St, Jackson, MS 39202-2407.
- What is Live Oak Psychological Associtaes's phone number?
- The practice phone number listed in the NPPES registry for Live Oak Psychological Associtaes is (601) 352-7398.
- Does Live Oak Psychological Associtaes accept Medicare?
- Live Oak Psychological Associtaes 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 Live Oak Psychological Associtaes?
- The authorized official listed on Live Oak Psychological Associtaes's NPPES record is Lisa Dieth, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Live Oak Psychological Associtaes's NPI active?
- Yes — Live Oak Psychological Associtaes's NPI (1750577805) is active in the NPPES registry as of the last update on 2007-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.