FAMILY PSYCHOLOGY OF SPRINGFIELD, LLC (NPI# 1790919165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790919165 |
| Entity Type | Organization |
| Organization Name | FAMILY PSYCHOLOGY OF SPRINGFIELD, LLC |
| Practice Address |
2053 S Waverly Ave Springfield MO 65804-2414 |
| Mailing Address |
2053 S Waverly Ave Suite D Springfield MO 65804-2414 |
| Practice Telephone | 4178868262 |
| Practice Fax Number | 4178868109 |
| Mailing Telephone | 4178868262 |
| Mailing Fax Number | 4178868109 |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-06-30 |
| Authorized Official Name | DR. DEBORAH L COX (PSYCHOLOGIST/OWNER) |
| Authorized Official Telephone | 4178868262 |
| Authorized Official Credential | PH.D., ABPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0000X |
Psychologist Specialization: Family |
PYRO495 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | CAQH | 11801084 | 01 |
| Street Address |
2053 S WAVERLY AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124577986 | Mycraco LLC | Counselor | 2053 S Waverly Ave, Springfield, MO 65804-2414 | 2016-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 103TF0000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023565348 | Integrative Family Psychology | Psychologist | 1340 E Meadowmere St, Springfield, MO 65804-0240 | 2016-09-02 |
| 1003172164 | Short Hills Assoc. In Clinical Psychology | Psychologist | 28 Millburn Ave Ste 1, Springfield, NJ 07081-1023 | 2012-04-03 |
| 1447627575 | Kristen Marracino | Psychologist | 140 High St, Springfield, MA 01105-1442 | 2015-08-24 |
| 1881934800 | Joseph Fredrick Hulgus Jr. | Psychologist | 2053 S Waverly Ave Ste D, Springfield, MO 65804-2497 | 2013-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497275531 | Healing Hands Homecare and Sounseling Services LLC | Psychologist | 10439 Gardo Ct, Saint Louis, MO 63137-3507 | 2017-06-20 |
| 1538311865 | James Douglas Pettinelli | Psychologist | 4500 W Pine Blvd, Saint Louis, MO 63108-2186 | 2008-10-17 |
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on FAMILY PSYCHOLOGY OF SPRINGFIELD, LLC.
| 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.