TESSA J COLTRIN (NPI# 1255512778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255512778 |
| Entity Type | Individual |
| Full Name | TESSA J COLTRIN |
| Credential | PSY.D. |
| Practice Address |
3800 S National Ave Ste 770 Springfield MO 65807-5283 |
| Mailing Address |
Po Box 4046 Springfield MO 65808-4046 |
| Practice Telephone | 4172696891 |
| Practice Fax Number | 4172695595 |
| Mailing Telephone | 4172695712 |
| Mailing Fax Number | 4172697567 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
2009010491 | MO | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
2007035388 | MO | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 2009010491 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | TRICARE | 431560263 | 01 |
| MO | 1255512778 | 05 | |
| MO | RR MCR | P01173068 | 01 |
| AR | 197065719 | 05 |
| Street Address |
3800 S NATIONAL AVE STE 770 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174529143 | Annie E Powers | Psychologist | 3800 S National Ave Ste 770, Springfield, MO 65807 | 2005-06-24 |
| 1770139735 | Regional Services | Counselor | 3800 S National Ave Ste 770, Springfield, MO 65807-5283 | 2019-08-15 |
| 1467961888 | Lauren Vera | Psychologist | 3800 S National Ave Ste 770, Springfield, MO 65807-5283 | 2017-09-28 |
| 1508300435 | Cameo Hopper | Counselor | 3800 S National Ave Ste 770, Springfield, MO 65807-5283 | 2016-12-12 |
| 1033669080 | John Randall Brandt | Psychologist | 3800 S National Ave Ste 770, Springfield, MO 65807-5283 | 2016-10-13 |
| 1235501594 | Christi Nothnagel | Psychologist | 3800 S National Ave Ste 770, Springfield, MO 65807-5283 | 2015-10-27 |
| 1275975799 | Judy Stanfill | Counselor | 3800 S National Ave Ste 770, Springfield, MO 65807-5283 | 2013-07-25 |
| 1194004192 | Georgina Ashlock | Psychologist | 3800 S National Ave Ste 770, Springfield, MO 65807-5283 | 2011-08-08 |
| 1669765715 | Curtis A Mattson | Psychologist | 3800 S National Ave Ste 770, Springfield, MO 65807-5283 | 2011-05-24 |
| 1952602468 | Jenifer Dawn Sturdivan | Counselor | 3800 S National Ave Ste 770, Springfield, MO 65807-5283 | 2010-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| 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 |
|---|---|---|---|---|
| 1467074351 | Esther Palacios-barrios | Psychologist | 8110 Parkdale Ct, Springfield, VA 22153-3601 | 2020-05-13 |
| 1073163598 | Tracey Cummings | Psychologist | 709 Avenue A, Springfield, MI 49037-7706 | 2019-09-17 |
| 1194374587 | Aaron Matthew Begley | Psychologist | 2775 W Dickman Rd Ste P1, Springfield, MI 49037-4895 | 2019-09-09 |
| 1891209938 | Ewa Lavin | Psychologist | 675 Morris Ave Ste 202, Springfield, NJ 07081-1523 | 2017-11-28 |
| 1750825469 | Stephanie Kaplan | Psychologist | 300 Carew St Ste 2, Springfield, MA 01104-2146 | 2016-12-14 |
| 1578922365 | Molly Lenore Choate Summers | Psychologist | 7713 Harwood Pl, Springfield, VA 22152-2014 | 2016-02-22 |
| 1942669528 | Hiroko Arikawa | Psychologist | 2988 W Lasalle St, Springfield, MO 65807-8733 | 2016-02-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1861885774 | Hand In Hand Multicultural Center | Psychologist | 1436 W Hovey St, Springfield, MO 65802-1509 | 2015-03-17 |
| 1962742932 | Jed E Baker | Psychologist | 28 Millburn Ave, Suite 7, Springfield, NJ 07081 | 2013-02-27 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.