| Compass Psychological Associates, Pllc | |
|
21 Marks Rd Ocean Springs MS 39564-4351 | |
| (228) 215-6800 | |
| Not Available |
| Full Name | Compass Psychological Associates, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 21 Marks Rd, Ocean Springs, Mississippi |
| Authorized Official Name and Position | Michael Prazak (PSYCHOLOGIST) |
| Authorized Official Contact | 2282156800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Psychological Associates, Pllc 2953 Bienville Blvd # 283 Ocean Springs MS 39564-4305 Ph: (812) 760-5347 | Compass Psychological Associates, Pllc 21 Marks Rd Ocean Springs MS 39564-4351 Ph: (228) 215-6800 |
| NPI Number | 1427890151 |
|---|---|
| Provider Enumeration Date | 06/12/2024 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/09/2024 |
| Medicare PECOS PAC ID | 5698212413 |
|---|---|
| Medicare Enrollment ID | O20240730000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427890151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Michael Prazak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144838251 PECOS PAC ID: 4688111081 Enrollment ID: I20240805000697 |
| Provider Name | Shannon Fussell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851621080 PECOS PAC ID: 6406393818 Enrollment ID: I20240806003486 |
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