MEDICARE: APPLIED PSYCHOLOGY CENTER, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TC0700X	Clinical Psychologist
2	1041C0700X	Clinical Social Worker
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1851514277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLIED PSYCHOLOGY CENTER, PC

Provider Business Mailing Address
First Line	:	904 DESOTO ST
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-3737
Country	:	US
Telephone Number	:	228-872-8429
Fax Number	:	228-872-0226

Provider Business Practice Location Address
First Line	:	904 DESOTO ST
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-3737
Country	:	US
Telephone Number	:	228-872-8429
Fax Number	:	228-872-0226

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	DR. STEFAN MASSONG
Credential	:	PH.D.
Telephone Number	:	228-861-0167

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	09/11/2025

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