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

Individual provider Clinical Psychologist · NPI 1619919701

Jay Thames Moak, PHD is a Clinical Psychologist in McComb, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1701 White St
McComb, MS 39648-2711
Phone: (601) 684-2173
Fax: (601) 249-4234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 45-731 (MS)

Record details

NPI number1619919701
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESJuly 13, 2026