DR. MAUREEN O'KANE GRISSOM (NPI# 1144411513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144411513 |
Entity Type | Individual |
Full Name | DR. MAUREEN O'KANE GRISSOM |
Credential | PH.D. |
Practice Address |
Thompson Center 300 Portland St., Suite, 110 Columbia MO 65211-0001 |
Practice Telephone | 5738845352 |
Enumeration Date | 2007-08-09 |
Last Update Date | 2007-08-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 2006034116 | MO | Behavioral Health & Social Service Providers |
N | 103T00000X | Psychologist | 2006034116 | MO | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | MO LICENSE | 2006034116 | 01 |
Street Address |
THOMPSON CENTER 300 PORTLAND ST., SUITE, 110 |
City | COLUMBIA |
State | MO |
Zip Code | 65211-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023510724 | Alison Mosel | Specialist/Technologist | University of Missouri - Columbia, 1 Champions Drive, Columbia, MO 65211 | 2018-03-08 |
1033629589 | Jessica Crane | Pharmacist | 911 E Rollins St., Room 1207 Mizzou Pharmacy, Columbia, MO 65211 | 2017-10-10 |
1720178239 | Charles Michael Borduin | Psychologist | 211 S. 8th Street, Psychological Services Clinic University of Missouri, Columbia, MO 65211 | 2006-10-13 |
1760434096 | Deborah Marie Wright | Psychologist | Mu Assessment and Consultation Clinic, 205 Lewis Hall, Columbia, MO 65211 | 2006-05-16 |
1982185195 | Kyle Hamilton | Behavior Technician | 205 Portland St., Columbia, MO 65211 | 2018-08-25 |
1609051804 | Guy Louis Mccormack | Occupational Therapist | 300 Portland St, Suite 110 Thompson Center, Columbia, MO 65211 | 2008-01-07 |
1740894427 | Shraddha Niphadkar | Psychologist | 406 South 6th Street 119 Parker Hall, Columbia, MO 65211-0001 | 2020-09-01 |
1629638986 | Karl Osterman | Specialist/Technologist | 100 Missouri Athletics Training Complex Sports Medicine, Columbia, MO 65211-0001 | 2019-06-19 |
1588222541 | Nicholas Philpot | Specialist/Technologist | 213 Rothwell Gymnasium, Columbia, MO 65211-0001 | 2019-06-04 |
1740749340 | Greta Katherine Runge | Specialist/Technologist | 600 E Stadium, Columbia, MO 65211-0001 | 2019-03-14 |
Find all providers in zip 65211 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760004832 | Kehinde Bolajoko Abioye | Clinical Neuropsychologist | 10420 Little Patuxent Pkwy Ste 250, Columbia, MD 21044-3638 | 2020-05-12 |
1801352695 | Capital City Neuropsychology, LLC | Clinical Neuropsychologist | 6000 Garners Ferry Rd Ste 12, Columbia, SC 29209-1303 | 2019-02-16 |
1578909925 | Sharon Brooks | Clinical Neuropsychologist | 2209 Potomac Dr, Columbia, MO 65203-5886 | 2013-05-13 |
1174686356 | Shawna Blake Kirby | Clinical Neuropsychologist | 1705 Richland St, Columbia, SC 29201-2635 | 2006-12-18 |
1104434190 | Andrew Mark Kiselica | Clinical Neuropsychologist | 115 W Business Loop 70, Columbia, MO 65203-3244 | 2020-07-16 |
1750902581 | Yesenia Serrano | Clinical Neuropsychologist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-05-04 |
1598137127 | Melissa Blackwell | Clinical Neuropsychologist | 5565 Sterrett Pl, Ste 320, Columbia, MD 21044-2665 | 2015-10-22 |
1255762399 | American Psychiatric Group Pa | Clinical Neuropsychologist | 8640 Guilford Rd, Suite 251, Columbia, MD 21046-2655 | 2013-11-27 |
1497035612 | Myriam J Sollman | Clinical Neuropsychologist | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2011-08-18 |
1538490834 | Elena Theressa Harlan Drewel | Clinical Neuropsychologist | 300 Portland St, Suite 110, Columbia, MO 65201-6569 | 2010-01-26 |
Find all providers in COLUMBIA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.