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 is a Psychologist 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.

See every abbreviation used in this directory →

Practice location Address checks out

2124 Government St
Ocean Springs, MS 39564-3937
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

Other providers in Ocean Springs