SUSAN PATRICE HYATT (NPI# 1487692554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487692554 |
| Entity Type | Individual |
| Full Name | SUSAN PATRICE HYATT |
| Credential | PH.D. |
| Practice Address |
4579 S Eason Blvd Tupelo MS 38801-6539 |
| Mailing Address |
450 E President Ave Tupelo MS 38801-5599 |
| Practice Telephone | 6623773161 |
| Practice Fax Number | 6623772993 |
| Mailing Telephone | 6623774685 |
| Mailing Fax Number | 6623772755 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 30448 | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 01626887 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881723781 | Susan Hyatt | Counselor | 157 E 57th St, Penthouse B, New York, NY 10022-2104 | 2007-03-05 |
| 1033674148 | Susan Hyatt | Counselor | 750 W Hampden Ave Ste 415, Englewood, CO 80110-2151 | 2019-02-02 |
| 1346310075 | Susan Hyatt | Counselor | 831 Dillon Dr, Richmond, IN 47374-8048 | 2006-11-09 |
| Street Address |
4579 S EASON BLVD |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-6539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508804626 | Mary Cecille Goysich | Psychologist | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2006-06-02 |
| 1649890336 | Sandra Holmes | Counselor | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2020-04-22 |
| 1235531658 | Phillipa Jones | Social Worker | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2014-09-17 |
| 1982012506 | Malcolm Bell | Counselor | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2014-07-28 |
| 1326454497 | Rhonda Smart | Marriage & Family Therapist | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2014-07-09 |
| 1801202148 | Rodney Rogers | Marriage & Family Therapist | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2014-07-08 |
| 1225444573 | Patricia Baggett | Counselor | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2014-07-08 |
| 1790191112 | Susan Thomas Schuh | Counselor | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2014-07-07 |
| 1376958199 | Gloria Temple Holland | Social Worker | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2014-07-01 |
| 1164723318 | Aracelis Johanna Lu Brea | Psychiatry & Neurology | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2010-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477729382 | Joe Edward Morris | Psychologist | 1018 North Gloster, Tupelo, MS 38804 | 2008-05-01 |
| 1972608347 | North Mississippi Medical Center Inc | Psychologist | 4579 S Eason Blvd Ste A, Tupelo, MS 38801-6539 | 2006-09-13 |
| 1942248208 | Joseph Morris Alexander | Psychologist | 144 S Thomas St, Ste 104a, Tupelo, MS 38801-5312 | 2006-06-02 |
| 1508804626 | Mary Cecille Goysich | Psychologist | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2006-06-02 |
| 1033488986 | Eldridge Erastus Fleming | Psychologist | 2800 W Main St, 203b Lakeside North, Tupelo, MS 38801-3027 | 2011-12-21 |
| 1306939384 | Margaret Koranek | Psychologist | 211 N Madison St, Tupelo, MS 38804-3807 | 2006-10-02 |
| 1528163086 | Louis Masur IIi | Psychologist | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2006-09-13 |
| 1043259369 | Michael Tennis Oliver | Psychologist | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043962 | Genesis Behavioral Health Services, LLC | Psychologist | 357 Towne Center Pl Ste 200, Ridgeland, MS 39157-4837 | 2020-08-14 |
| 1164031761 | Hays Behavioral Health & Wellness Consultants, Pllc | Psychologist | 595 Northpark Dr Ste E, Ridgeland, MS 39157-5111 | 2020-07-29 |
| 1821654807 | Kristi Mong | Psychologist | 24505 Mare Point Dr, Pass Christian, MS 39571-3302 | 2019-05-14 |
| 1619489861 | Frank G Baugh | Psychologist | 1 Commerce Dr Ste 106, Hattiesburg, MS 39402-1499 | 2017-10-27 |
| 1679024129 | Victor D'ilio | Psychologist | 92 Sweet Bay Trl, Petal, MS 39465-9463 | 2016-10-19 |
| 1689028391 | North Mississippi Medical Center, Inc. | Psychologist | 2704 W Oxford Loop # 110, Oxford, MS 38655-5714 | 2016-04-19 |
| 1740640275 | Evan Henry Dart | Psychologist | 33 Robins Nest, Hattiesburg, MS 39402-9098 | 2016-02-25 |
| 1932569464 | Keith C Radley IIi | Psychologist | 210 Bellegrass Blvd, Hattiesburg, MS 39402-1907 | 2016-02-25 |
| 1033578018 | Magnolia Behavioral Psychology, Pllc | Psychologist | 6668 Hwy 98, Suite A, Hattiesburg, MS 39402-9098 | 2016-02-18 |
| 1770972622 | Suzanne Jourdan | Psychologist | 107 Hunters Pointe Ct, Clinton, MS 39056-3148 | 2015-01-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.