Coxhealth Psychological Services | |
3800 S National Ave Ste. 770 Springfield MO 65807-5209 | |
(417) 269-6891 | |
(417) 269-5595 |
Full Name | Coxhealth Psychological Services |
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Speciality | Psychologist |
Location | 3800 S National Ave, Springfield, Missouri |
Authorized Official Name and Position | Jacob M Mcway (SR VICE-PRESIDENT & CFO) |
Authorized Official Contact | 4172698811 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Coxhealth Psychological Services Po Box 4046 Springfield MO 65808-4046 Ph: (417) 269-5712 | Coxhealth Psychological Services 3800 S National Ave Ste. 770 Springfield MO 65807-5209 Ph: (417) 269-6891 |
NPI Number | 1356469498 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 02/05/2019 |
Medicare PECOS PAC ID | 1254248917 |
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Medicare Enrollment ID | O20040408000380 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356469498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103T00000X | Psychologist | (* (Not Available)) | Primary |
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
Provider Name | Maria C Spurling |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881720407 PECOS PAC ID: 1153353297 Enrollment ID: I20050909000024 |
Provider Name | Sandra S Best |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326057977 PECOS PAC ID: 1557402484 Enrollment ID: I20100113000920 |
Provider Name | Adrian J Whitmire |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1083934228 PECOS PAC ID: 6103940135 Enrollment ID: I20100827000713 |
Provider Name | Dustin R Tripp |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851555411 PECOS PAC ID: 2769651256 Enrollment ID: I20110818000428 |
Provider Name | Georgina L Ashlock |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1194004192 PECOS PAC ID: 6204007560 Enrollment ID: I20110916000056 |
Provider Name | Thomas E Witty |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1356382824 PECOS PAC ID: 9234126327 Enrollment ID: I20120418000689 |
Provider Name | Christi M Nothnagel |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1235501594 PECOS PAC ID: 4385932771 Enrollment ID: I20161018002440 |
Provider Name | Eric D Wolfe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366606923 PECOS PAC ID: 6800064213 Enrollment ID: I20180110000232 |
Provider Name | Vincen Gene Barnes |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1093870875 PECOS PAC ID: 5294814893 Enrollment ID: I20190114002966 |
Provider Name | Kylie Kristen Pottenger |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1902219355 PECOS PAC ID: 1658605738 Enrollment ID: I20190624001568 |
Provider Name | Jason W Engel |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1851385264 PECOS PAC ID: 2567363476 Enrollment ID: I20190731000278 |
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