Healthcare Provider Details

I. General information

NPI: 1851514277
Provider Name (Legal Business Name): APPLIED PSYCHOLOGY CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 DESOTO ST
OCEAN SPRINGS MS
39564-3737
US

IV. Provider business mailing address

904 DESOTO ST
OCEAN SPRINGS MS
39564-3737
US

V. Phone/Fax

Practice location:
  • Phone: 228-872-8429
  • Fax: 228-872-0226
Mailing address:
  • Phone: 228-872-8429
  • Fax: 228-872-0226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. STEFAN MASSONG
Title or Position: PRACTICE MANAGER
Credential: PH.D.
Phone: 228-861-0167