Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710040886 Individual Practitioner Male Practitioner

Dr. John Wesley Waggoner , PsyD

Psychologist • Keesler Afb, MS

Professional Overview & Biography Verified Profile Summary

Dr. John Waggoner, PsyD is a registered healthcare professional specializing in Psychologist in Keesler Afb, MS. Practice services are available at 301 FISHER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

301 Fisher St

Keesler Afb, MS 395342508

Telephone 2283760385
Associated Practice Facility / Clinic
🏢 81st Medgrp-Keesler Facility NPI 1710967526

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Keesler Afb, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Keesler Afb, MS (133 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-05-24
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MS 601056

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Kelly Moore , LCSW

Social Worker - Clinical

NPI 1134619018

Licensed Clinical Social Worker

Latoya Butler , LCSW

Counselor - Mental Health

NPI 1225169899

Licensed Clinical Social Worker

Elizabeth Gunnell

Psychologist

NPI 1275016214
Dr. Kevin Yeates , PhD

Clinical Neuropsychologist

NPI 1467905174

Doctor of Philosophy (Ph.D.)

Dr. Racheal Johnson , DO

Psychiatry & Neurology - Psychiatry

NPI 1558718726

Doctor of Osteopathic Medicine (D.O.)

Angelia Bone , LCSW

Social Worker - Clinical

NPI 1568814978

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 24, 2022

Registered at 301 FISHER ST, KEESLER AFB, MS 395342508 (Tel: 2283760385)

📍
Updated Business Mailing Address May 24, 2022

Registered at 301 FISHER ST, KEESLER AFB, MS 395342508

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2022

Psychologist (License #601056 in MS)

NPI Profile Active August 14, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2013

Registered at 2200 BERGQUIST DR, 59 MHS/SGOWMP - NEUROPSYCHOLOGY, 4TH FLOOR, LACKLAND A F B, TX 782369907 (Tel: 2102925968)

📍
Updated Business Mailing Address August 14, 2013

Registered at 7507 CLOS DU BOIS, SAN ANTONIO, TX 782534888 (Tel: 2108722543)

👤
Provider Name / Credentials Updated August 14, 2013

Recorded as JOHN WAGGONER, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2013

Clinical Neuropsychologist (License #1561 in AL)

🟢
Initial NPI Registration & Enumeration December 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710040886
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2006
Last Update: May 24, 2022
Sole Proprietor: No

Mailing Address

301 Fisher St

Keesler Afb, MS 395342508

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.