| Cornerstone Psychological Services | |
|
1721 W Elfindale St Springfield MO 65807-1295 | |
| (417) 874-1942 | |
| (417) 771-3723 |
| Full Name | Cornerstone Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 1721 W Elfindale St, Springfield, Missouri |
| Authorized Official Name and Position | Michael H Powers (PRESIDENT/CEO) |
| Authorized Official Contact | 4178647887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Psychological Services 1721 W. Elfindale St. Springfield MO 65807-2139 Ph: (417) 874-1942 | Cornerstone Psychological Services 1721 W Elfindale St Springfield MO 65807-1295 Ph: (417) 874-1942 |
| NPI Number | 1285906107 |
|---|---|
| Provider Enumeration Date | 02/08/2012 |
| Last Update Date | 12/16/2020 |
| Certification Date | 12/16/2020 |
| Medicare PECOS PAC ID | 7810159332 |
|---|---|
| Medicare Enrollment ID | O20120430000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285906107 | NPI | - | NPPES |
| 1093134231 | Medicaid | MO | |
| 1184993750 | Medicaid | MO | |
| 1285906107 | Medicaid | MO | |
| 1407098254 | Other | MO | NPI |
| 1952602468 | Medicaid | MO | |
| 1497093488 | Medicaid | MO | |
| 1871039404 | Medicaid | MO | |
| 1134664659 | Medicaid | MO | |
| 1003236977 | Medicaid | MO | |
| 1215295050 | Medicaid | MO | |
| 1477617967 | Medicaid | MO | |
| 1134521131 | Medicaid | MO | |
| 107377257 | Medicaid | MO | |
| 1417496605 | Medicaid | MO |
| Provider Name | Dennis Dobard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063554038 PECOS PAC ID: 5698852622 Enrollment ID: I20080401000780 |
| Provider Name | Melanie L Stinnett |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467738419 PECOS PAC ID: 4183848153 Enrollment ID: I20140612001661 |
| Provider Name | Kayette M Glass |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215295050 PECOS PAC ID: 1355564808 Enrollment ID: I20150112001796 |
| Provider Name | Elizabeth A Tyner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073772257 PECOS PAC ID: 3173840873 Enrollment ID: I20150317001931 |
| Provider Name | Wanda Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417496605 PECOS PAC ID: 2062781982 Enrollment ID: I20170710001510 |
| Provider Name | Allyson J Beary |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447772884 PECOS PAC ID: 4183974363 Enrollment ID: I20180910001353 |
| Provider Name | Megan K Goforth |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336623404 PECOS PAC ID: 1355693169 Enrollment ID: I20181005001181 |
| Provider Name | Amber L Perkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801361282 PECOS PAC ID: 0547592313 Enrollment ID: I20191028001944 |
| Provider Name | Collin Reid Hill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851985691 PECOS PAC ID: 5395150379 Enrollment ID: I20210225001314 |
| Provider Name | Nicholas Perryman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760058424 PECOS PAC ID: 5799185104 Enrollment ID: I20210607001158 |
| Provider Name | Kayla Rachelle Love |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366044737 PECOS PAC ID: 2163809112 Enrollment ID: I20220513001098 |
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