JOANN MCGUIRE (NPI# 1770773459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770773459 |
| Entity Type | Individual |
| Full Name | JOANN MCGUIRE |
| Credential | PSY.D. |
| Practice Address |
3100 S National Ave Ste 103 Springfield MO 65807-7347 |
| Mailing Address |
3600 S National Ave Springfield MO 65807-7311 |
| Practice Telephone | 4173226622 |
| Practice Fax Number | 4173501935 |
| Mailing Telephone | 4173226622 |
| Mailing Fax Number | 4173501935 |
| Enumeration Date | 2007-07-28 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
2007030009 | MO | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2007030009 | MO | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2007030009 | MO | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
2007030009 | MO | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
2007030009 | MO | Behavioral Health & Social Service Providers |
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
2007030009 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 494925704 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3600 S National Ave, Springfield, MO 658077311 | 4173226622 | 4173501935 |
| Street Address |
3100 S NATIONAL AVE STE 103 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-7347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386257780 | Eustasis Foundation, Inc | Voluntary or Charitable | 3100 S National Ave Ste 103, Springfield, MO 65807-7347 | 2020-08-25 |
| 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 | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073646766 | Gateway Behavioral Health Services | Psychologist | 275 First Street Extention, Springfield, GA 31329 | 2007-03-13 |
| 1881664720 | Harold Davies Alleman | Psychologist | 1345 N Fountain Blvd, Springfield, OH 45504-1422 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912484 | Bonnie B. Walbran | Psychologist | 859 Edlin Dr, Saint Louis, MO 63122-1615 | 2005-06-14 |
| 1578199238 | State of Missouri | Psychologist | 1706 E Elm St, Jefferson City, MO 65101-4130 | 2020-03-13 |
| 1447886288 | State of Missouri | Psychologist | 1706 E Elm St, Jefferson City, MO 65101 | 2020-03-12 |
| 1568811354 | Danasty Marie Lewis | Psychologist | 3001 Warrior Lane, Poplar Bluff, MO 63901 | 2016-06-13 |
| 1104980267 | East Central Missouri Behavioral Health Services, Inc | Psychologist | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2006-12-21 |
| 1457415515 | East Central Missouri Behavioral Health Services, Inc | Psychologist | 340 Kelley Pkwy, Mexico, MO 65265 | 2006-12-21 |
| 1376607432 | East Central Missouri Behavioral Health Serives, Inc | Psychologist | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2006-12-21 |
| 1356404636 | East Central Missouri Behavioral Health Services, Inc | Psychologist | 340 Kelley Pkwy, Mexico, MO 65265 | 2006-12-18 |
| City | SPRINGFIELD |
| Zip Code | 65807 |
Please comment or provide details below to improve the information on JOANN MCGUIRE.
| 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.