PROF. ROBERT DALE MCDERMID (NPI# 1366677072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366677072 |
| Entity Type | Individual |
| Full Name | PROF. ROBERT DALE MCDERMID |
| Credential | PHD |
| Practice Address |
2727 Mcclelland Blvd Joplin MO 64804-1626 |
| Mailing Address |
1701 W 26th St Suite D Joplin MO 64804-1513 |
| Practice Telephone | 4177812727 |
| Practice Fax Number | 4176252910 |
| Mailing Telephone | 4176278967 |
| Mailing Fax Number | 4176278920 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
01457 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | STATE LICENSE | 01457 | 01 |
| Street Address |
2727 MCCLELLAND BLVD |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528035144 | Phyllis Knickerbocker | Nurse Anesthetist, Certified Registered | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2006-03-02 |
| 1174812523 | St John's Regional Medical Center | General Acute Care Hospital | 2727 Mcclelland Blvd, Wound Care, Joplin, MO 64804-1626 | 2011-04-06 |
| 1962702225 | Joplin Pathology Professionals PC | Pathology | 2727 Mcclelland Blvd, St. John's Regional Med Ctr Pathology Dept, Joplin, MO 64804-1626 | 2010-11-02 |
| 1992015176 | Sandi Boyce | Speech-Language Pathologist | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2010-10-20 |
| 1376862979 | Magen Combs | Physical Therapist | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2010-05-20 |
| 1124345509 | Carol Watts | Physical Therapist | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2010-04-26 |
| 1265766075 | Dawnya Mae Gibbs | Occupational Therapist | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2009-09-25 |
| 1043443914 | Rachel Lynn Morgan | Occupational Therapist | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2009-08-26 |
| 1013150556 | Debra Hamilton | Registered Nurse | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2009-04-14 |
| 1528206893 | Ryan Palmer | Emergency Medical Technician, Basic | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2009-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| 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 |
| 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 |
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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.