Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magnolia Psychiatric PA

Organization Psychologist · NPI 1306031752

Magnolia Psychiatric PA provides Psychologist services in Ocean Springs, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2124 Government St
Ocean Springs, MS 39564-3937 Not confirmed with CMS for 19 years — call before visiting
Phone: (228) 818-9050
Fax: (228) 872-6300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 18977 (MS)

Record details

NPI number1306031752
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracey Mattina — Manager · (228) 818-0563
NPI enumeratedSeptember 10, 2007
Last updated in NPPESSeptember 10, 2007
Mailing address2124 Government St, Ocean Springs, MS 39564-3937

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