LOUIS MASUR III (NPI# 1528163086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528163086 |
| Entity Type | Individual |
| Full Name | LOUIS MASUR III |
| Credential | PHD |
| Practice Address |
2434 S Eason Blvd Tupelo MS 38804-6942 |
| Mailing Address |
175 Bethany Rd Baldwyn MS 38824-7534 |
| Practice Telephone | 6625044382 |
| Practice Fax Number | 6626806416 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2017-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 20-227 | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07252854 | 05 |
| Street Address |
2434 S EASON BLVD |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-6942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508893074 | Ross E Collins Jr. | Psychiatry & Neurology | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2006-06-28 |
| 1245831551 | Lisa Roberts | Registered Nurse | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-11-03 |
| 1295336519 | Kyra Neal | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-11-03 |
| 1124635354 | Kecia Williams | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-10-01 |
| 1144837675 | Daniele Nolan | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-29 |
| 1639786163 | Reagan Bartley | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-29 |
| 1033725056 | Moesha Banks | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-16 |
| 1891301719 | Makinley Neighbors | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-16 |
| 1073129094 | Stephanie Johnson | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-16 |
| 1275149197 | Hallie Goodson | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
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| 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 |
| 1043259369 | Michael Tennis Oliver | Psychologist | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2006-06-05 |
| 1487692554 | Susan Patrice Hyatt | Psychologist | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2006-06-02 |
| 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.