JOHN ALLEN KEOUGH (NPI# 1164643581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164643581 |
| Entity Type | Individual |
| Full Name | JOHN ALLEN KEOUGH |
| Credential | M.A. |
| Practice Address |
Rr 4 Box 658 Butler MO 64730-9458 |
| Mailing Address |
Rr 4 Box 658 Po Box 472 Butler MO 64730-9458 |
| Practice Telephone | 6606794421 |
| Practice Fax Number | 6606794421 |
| Mailing Telephone | 6606794421 |
| Mailing Fax Number | 6606794421 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 01651 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | DDS VENDOR NUMBER | 0031336 | 01 |
| Street Address |
RR 4 BOX 658 |
| City | BUTLER |
| State | MO |
| Zip Code | 64730-9458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003128596 | Marilyn Gay Gaddy | Registered Nurse | 205 E Dakota, Butler, MO 64730 | 2010-07-13 |
| 1598962581 | John Phillip Bustle | Family Medicine | 615 W Nursery, Butler, MO 64730 | 2007-07-02 |
| 1003914482 | Corry Robert Lanyon | Dentist | 1018 West Fort Scott, Butler, MO 64730 | 2006-09-20 |
| 1053426221 | Ronald Leslie Bashor | Dentist | 619 W Nursery, Bates County Dental Center, Butler, MO 64730 | 2006-08-20 |
| 1194778225 | John Leslie Noe | Optometrist | 204 West Chestnut, Butler, MO 64730 | 2006-05-18 |
| 1295711109 | Michael J Gardner | Psychologist | 805 N Orange St, Butler, MO 64730 | 2005-12-22 |
| 1184189557 | Skyler M Davenport | Specialist/Technologist | 420 S Fulton St, Butler, MO 64730 | 2019-02-09 |
| 1962982413 | Meagan Guerreiro | Counselor | 805 N Orange St, Butler, MO 64730 | 2018-08-15 |
| 1851830384 | Breezy Operations LLC | Skilled Nursing Facility | 416 S High St, Butler, MO 64730 | 2017-02-16 |
| 1487986048 | Jessica Anne Allison | Counselor | 805 N Orange St, Butler, MO 64730 | 2010-02-08 |
| Find all providers in zip 64730 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023134186 | Wayne Psychological Group LLC | Psychologist | 45 Carey Ave, Suite 204, Butler, NJ 07405-1443 | 2007-03-21 |
| 1548335409 | W Kellar Smith | Psychologist | 1022 A N Main St, Avada Bldg 2nd Floor, Butler, PA 16001 | 2006-11-22 |
| 1083625941 | Butler Wellness Support Services Wellness Works | Psychologist | 349 N Mckean Street, Butler, PA 16001-5426 | 2006-08-10 |
| 1093729303 | Inara K Segal | Psychologist | 1250 Route 23 North, Suite 5, Butler, NJ 07405-2002 | 2006-07-29 |
| 1295711109 | Michael J Gardner | Psychologist | 805 N Orange St, Butler, MO 64730 | 2005-12-22 |
| 1609111798 | Wellness Works Counseling LLC | Psychologist | 349 N Mckean St, Butler, PA 16001-4928 | 2012-11-30 |
| 1083911473 | Ian Edwards | Psychologist | 350 N Main St, Butler, PA 16001-4921 | 2011-02-21 |
| 1699894436 | Janice Adrienne Knapp | Psychologist | 1022 N Main Street Ext, Ste 204, Butler, PA 16001-1962 | 2007-03-29 |
| 1447309133 | Martin Barry Meyer | Psychologist | 220 S Main St, Suite 304, Butler, PA 16001-5987 | 2007-01-10 |
| 1588713283 | Julie Sue Uran | Psychologist | 220 S Main St, Suite 304, Butler, PA 16001-5987 | 2007-01-10 |
| Find all providers in BUTLER | ||||
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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.