DR. JOHN RUSSELL DAGES (NPI# 1265647473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265647473 |
| Entity Type | Individual |
| Full Name | DR. JOHN RUSSELL DAGES |
| Credential | PHD, LP |
| Practice Address |
705 Illinois Avenue Suite A-14 Joplin MO 64801-5017 |
| Practice Telephone | 4177191346 |
| Mailing Telephone | (417) 719-1346 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2017-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 01847 | MO | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
PSY1000308 | DC | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
01847 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1265647473 | 05 |
| Street Address |
705 ILLINOIS AVENUE SUITE A-14 |
| City | JOPLIN |
| State | MO |
| Zip Code | 64801-5017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747783 | Chelsea Marie Wilson | Speech-Language Pathologist | Kaleidoscope Clinic 3531 N Range Line Rd, Joplin, MO 64801 | 2020-07-21 |
| 1639669807 | Cassandra Lee Williams | Speech-Language Pathologist | 310 W 8th Street, Joplin, MO 64801 | 2018-05-14 |
| 1427593177 | Healthone Labs LLC | Clinical Medical Laboratory | 101 N Rangline Rd, 304, Joplin, MO 64801 | 2017-01-04 |
| 1902253768 | Options Outpaitent Counseling Service | Counselor | 1515 W 10th St., Suite E, Joplin, MO 64801 | 2016-05-20 |
| 1467833871 | Regan Gass | Nurse Practitioner | 2912 West 16th Street, Joplin, MO 64801 | 2015-06-11 |
| 1881091171 | Pamela Ann Younger | Dental Hygienist | 530 S Maiden Lane, Joplin, MO 64801 | 2014-12-02 |
| 1588908065 | Amy Maria Manrique | Counselor | 301 E. Virginia Street, Joplin, MO 64801 | 2012-11-21 |
| 1356612329 | Ideal Care Clinical Services, LLC | Pharmacy | 5898 North Main, Suite 109, Joplin, MO 64801 | 2012-01-23 |
| 1124256037 | Nathalie Grace Canete Husain | Physical Therapist | Gmmpcpi 214 West 5th St., Suite D & E, Joplin, MO 64801 | 2009-06-30 |
| 1912162447 | David Odinga Egessah | Occupational Therapist | 214 West 5th St, Gmm Procare Providers Inc, Joplin, MO 64801 | 2008-07-24 |
| Find all providers in zip 64801 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104223940 | Partners In Parenting Excellence LLC | Psychologist | 2906 S Main St, Joplin, MO 64804-2639 | 2014-11-21 |
| 1114918661 | John R Graue II | Psychologist | 1505 E 20th St, Joplin, MO 64804-0928 | 2005-11-03 |
| 1366677072 | Robert Dale Mcdermid | Psychologist | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2009-05-26 |
| 1669481495 | Behavior Management PC Inc | Psychologist | 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 | 2006-08-08 |
| 1427049980 | Scott M Gordon | Psychologist | 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252789 | Karen Sue Johnson | Psychologist | 1706 Nw 63rd Ter, Kansas City, MO 64118-3000 | 2020-10-09 |
| 1124675160 | Integrative Mind Institute, LLC | Psychologist | 7750 Clayton Rd Ste 303, Richmond Heights, MO 63117-1341 | 2019-08-23 |
| 1063972081 | Marianela Dornhecker | Psychologist | 3832 Mcdonald Ave, Saint Louis, MO 63116-4717 | 2019-03-25 |
| 1255813002 | Rimiko Thomas | Psychologist | 19 Ranchview Dr, Florissant, MO 63033-8043 | 2018-08-29 |
| 1861995680 | Chrisanthia Brown | Psychologist | 800 W 47th St Ste 630, Kansas City, MO 64112-1373 | 2018-03-18 |
| 1518483825 | Consuelo Maturana | Psychologist | 7505 Pershing Ave Apt 2w, Saint Louis, MO 63130-4024 | 2017-08-17 |
| 1922520394 | Ivorie D Chambers | Psychologist | 10439 Gardo Court, Saint Louis, MO 63137 | 2017-07-07 |
| 1801251764 | Douglas H Fehr | Psychologist | 1504 Se Cape Dr, Lees Summit, MO 64081-2180 | 2015-12-19 |
| 1205222346 | David L Schlink & Associates Psychological Services LLC | Psychologist | 2017 E Lark St, Springfield, MO 65804-6745 | 2015-04-14 |
| 1194140756 | Emergence Psychological Services | Psychologist | 1131 Thornwood Dr, Saint Louis, MO 63124-1227 | 2014-02-19 |
| Find all providers with the same taxonomy | ||||
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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.