DR. KEITH C RADLEY III (NPI# 1932569464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932569464 |
| Entity Type | Individual |
| Full Name | DR. KEITH C RADLEY III |
| Credential | PH.D. |
| Practice Address |
210 Bellegrass Blvd Hattiesburg MS 39402-1907 |
| Practice Telephone | 8018606894 |
| Mailing Telephone | 8018606894 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 55982 | MS | Behavioral Health & Social Service Providers |
| Street Address |
210 BELLEGRASS BLVD |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| 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 |
|---|---|---|---|---|
| 1619489861 | Frank G Baugh | Psychologist | 1 Commerce Dr Ste 106, Hattiesburg, MS 39402-1499 | 2017-10-27 |
| 1740640275 | Evan Henry Dart | Psychologist | 33 Robins Nest, Hattiesburg, MS 39402-9098 | 2016-02-25 |
| 1033578018 | Magnolia Behavioral Psychology, Pllc | Psychologist | 6668 Hwy 98, Suite A, Hattiesburg, MS 39402-9098 | 2016-02-18 |
| 1164860029 | Sidne Buelow | Psychologist | 104 Dogwood Dr, Hattiesburg, MS 39402-3303 | 2013-06-12 |
| 1750663233 | Christopher William Humpage | Psychologist | 118 Woodshire Dr, Hattiesburg, MS 39402-3442 | 2011-09-12 |
| 1275847329 | Scott Michael Rubin-asch | Psychologist | 5056 Old Highway 42, Building 1408 16th Street, Hattiesburg, MS 39401-2833 | 2010-07-31 |
| 1669784757 | Nora Elizabeth Charles | Psychologist | 118 College Drive Box #5025, Hattiesburg, MS 39406-0001 | 2010-07-06 |
| 1679705305 | Rita Porter | Psychologist | 407 Kensington Dr, Hattiesburg, MS 39402-1941 | 2009-08-13 |
| 1518127711 | Dannell Speights Roberts | Psychologist | 20 Parkway Blvd, Hattiesburg, MS 39401-8879 | 2008-06-11 |
| 1811107816 | Martha Aldridge Baty | Psychologist | 606 Adeline St Ste 1d, Hattiesburg, MS 39401-3864 | 2007-05-22 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
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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.