SALVADOR CENICEROS


Address: 618 N Benton Ave, Springfield, MO 65806-1102
Phone: 4178511563

SALVADOR CENICEROS (NPI# 1457301129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457301129
Entity Type Individual
Full Name SALVADOR CENICEROS
Credential MD
Practice Address 618 N Benton Ave
Springfield
MO 65806-1102
Mailing Address 440 E Tampa St
Springfield
MO 65806-1131
Practice Telephone 4178511563
Practice Fax Number 4178318033
Mailing Telephone 4178310150
Mailing Fax Number 4178318033
Enumeration Date 2006-05-11
Last Update Date 2018-10-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
2010006881 MO Allopathic & Osteopathic Physicians
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
01052420A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO RAILROAD MEDICARE P01038084 01
MO 204132302 05
MO 1457301129 05
MO STATE LICENSE 2010006881 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
440 E Tampa St, Springfield, MO 658061131 4178310150 4178318033

Office Location

Street Address 618 N BENTON AVE
City SPRINGFIELD
State MO
Zip Code 65806-1102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912320862 Ashlee Rossner Nurse Practitioner 618 N Benton Ave, Springfield, MO 65806-1102 2014-01-29
1356697114 Melissa K Belles Nurse Practitioner 618 N Benton Ave, Springfield, MO 65806-1102 2012-07-31
1750675757 Megan Westrich Dentist 618 N Benton Ave, Springfield, MO 65806-1102 2011-06-07
1982939740 Danielle Renee Eddings Registered Nurse 618 N Benton Ave, Springfield, MO 65806-1102 2009-10-13
1013172618 Laurel Alaine Prichard Dentist 618 N Benton Ave, Springfield, MO 65806-1102 2008-07-23
1568653368 Louis M. Drackert Iv Dentist 618 N Benton Ave, Springfield, MO 65806-1102 2007-08-06
1467570333 William Reed Woods Jr. Dentist 618 N Benton Ave, Springfield, MO 65806-1102 2007-03-27
1861590861 Advocates for A Healthy Community, Inc. Clinic/Center 618 N Benton Ave, Springfield, MO 65806-1102 2006-09-21
1407954407 Advocates for A Healthy Community, Inc. Clinic/Center 618 N Benton Ave, Springfield, MO 65806-1102 2006-09-21
1558467217 Rebekah Dawn Carsten Dental Hygienist 618 N Benton Ave, Springfield, MO 65806-1102 2006-09-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437614625 Jaleesa Warnay Westmoreland-ginger Specialist/Technologist 609 East Cherry Street, Sports Medicine and Athletic Training Suite 600, Springfield, MO 65806 2019-02-01
1609359116 Stacy Johnson Social Worker 134 West Park Central Sq, Springfield, MO 65806 2018-09-11
1801312871 Scott Lewis Stegeman Specialist/Technologist 609 E Cherry St, Springfield, MO 65806 2017-08-21
1154787638 Alicia R. Thomas Nurse Practitioner 618 N. Benton, Springfield, MO 65806 2016-01-13
1972938231 Karah Nicole Domenico Dietitian, Registered 205 Park Central East Ste. 217, Springfield, MO 65806 2013-09-05
1386766921 Mary Ann Wood Smith Counselor 305 East Walnut, Suite 103, Springfield, MO 65806 2007-04-04
1811023161 Yvonda Schwartz Counselor 1212 W Lombard, Great Circle, Springfield, MO 65806 2007-02-23
1861579880 Richard Chalon Aiken Psychiatry & Neurology 440 S Market Street, Springfield, MO 65806 2006-11-01
1093806671 Clint A Strong Family Medicine 440 E. Tampa St, Springfield, MO 65806 2006-09-27
1609835164 Ray E. Burmood Social Worker 614 South Street, Springfield, MO 65806 2006-03-22
Find all providers in zip 65806

Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164076683 Forefront-khatkhate Medical Services PC Psychiatry & Neurology 600 S 2nd St Ste 404, Springfield, IL 62704-2542 2019-08-01
1699043976 Terry Arthur Travis Psychiatry & Neurology 1200 Ravenswood, Na, Springfield, IL 62711-6079 2011-12-01
1659512184 Julie A. Warren, Md LLC Psychiatry & Neurology 1911 S. National Avenue, Suite 405, Springfield, MO 65804 2009-03-12
1255577821 William Basham Psychiatry & Neurology 5729 Main St # 330, Springfield, OR 97478-5426 2009-01-01
1679718043 Leslie Jeanne Phelps Psychiatry & Neurology 1717 E. Primrose St., Apartment B204, Springfield, MO 65804-5413 2008-12-12
1134302656 Interlink Behavioral Services, P.C. Psychiatry & Neurology 3121 S Terrace Green Ct, Springfield, MO 65804-4555 2007-12-06
1366621351 Azra A Farooqui Psychiatry & Neurology 7745 Jewelweed Ct, Springfield, VA 22152-3148 2007-10-26
1093919714 Lillian Joy Houston Psychiatry & Neurology 315 W Carpenter St Dept Of, Springfield, IL 62702-4901 2007-06-14
1881808145 Yakhmi Mds Psychiatry & Neurology 1505 N Limestone St, Springfield, OH 45503-3317 2007-05-09
1588784706 Asad Gobar Psychiatry & Neurology 5922 Hall St, Springfield, VA 22152-1401 2007-03-30
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 65806

Improve Information

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Dataset Information

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.

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