| Eustasis Psychiatric And Addiction Health | |
|
3600 S National Ave Springfield MO 65807-7311 | |
| (417) 322-6622 | |
| (417) 350-1935 |
| Full Name | Eustasis Psychiatric And Addiction Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 3600 S National Ave, Springfield, Missouri |
| Authorized Official Name and Position | Alok Jain (MEMBER/PSYCHIATRIST) |
| Authorized Official Contact | 4173226622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eustasis Psychiatric And Addiction Health 3600 S National Ave Springfield MO 65807-7311 Ph: (417) 322-6622 | Eustasis Psychiatric And Addiction Health 3600 S National Ave Springfield MO 65807-7311 Ph: (417) 322-6622 |
| NPI Number | 1548760820 |
|---|---|
| Provider Enumeration Date | 02/13/2018 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/17/2023 |
| Medicare PECOS PAC ID | 3971864588 |
|---|---|
| Medicare Enrollment ID | O20180222001519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548760820 | NPI | - | NPPES |
| 1K3769 | Medicaid | AR | |
| 500051439 | Medicaid | MO | |
| 830051239 | Medicaid | MO |
| Provider Name | Steven Kory |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467489450 PECOS PAC ID: 1456449214 Enrollment ID: I20071113000456 |
| Provider Name | Joann L Mcguire |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770773459 PECOS PAC ID: 6204983141 Enrollment ID: I20090413000269 |
| Provider Name | Alok Jain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285630095 PECOS PAC ID: 4789700949 Enrollment ID: I20100924000363 |
| Provider Name | Melissa Kaye Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700160231 PECOS PAC ID: 8022270511 Enrollment ID: I20120430000171 |
| Provider Name | Samantha Lynne Warkentien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851769350 PECOS PAC ID: 9638488141 Enrollment ID: I20170427000211 |
| Provider Name | Alisha B Jain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942718978 PECOS PAC ID: 5890055404 Enrollment ID: I20180130001660 |
| Provider Name | Amy Chrisandra Baremore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578193637 PECOS PAC ID: 0143643353 Enrollment ID: I20200707001539 |
| Provider Name | Stephanie Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043820681 PECOS PAC ID: 2961813456 Enrollment ID: I20201207000173 |
| Provider Name | Charles David Eldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871162206 PECOS PAC ID: 7113328857 Enrollment ID: I20210712000273 |
| Provider Name | Shelby Elizabeth Likes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710560628 PECOS PAC ID: 1254718174 Enrollment ID: I20220516001672 |
| Provider Name | Crystal Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811633845 PECOS PAC ID: 4789061102 Enrollment ID: I20220524001275 |
| Provider Name | Amanda Kay Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134852817 PECOS PAC ID: 0840673380 Enrollment ID: I20220817000882 |
| Provider Name | Valorie Annette Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770216202 PECOS PAC ID: 0446634133 Enrollment ID: I20220830000547 |
| Provider Name | Catherine Elizabeth Lathrop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942920756 PECOS PAC ID: 9931583093 Enrollment ID: I20220908002765 |
| Provider Name | Alicia Juvonna Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215687637 PECOS PAC ID: 0840687505 Enrollment ID: I20220920000589 |
| Provider Name | Robin Arime Connors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396464194 PECOS PAC ID: 0547646820 Enrollment ID: I20221011000926 |
| Provider Name | Danielle Darlene Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063118404 PECOS PAC ID: 8325410301 Enrollment ID: I20230221002254 |
| Provider Name | Daniel Mark Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467745299 PECOS PAC ID: 4981828662 Enrollment ID: I20230224001851 |
| Provider Name | Caden Baker Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437740180 PECOS PAC ID: 9335547330 Enrollment ID: I20230406001006 |
| Provider Name | Anthony Alan Meloy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003227166 PECOS PAC ID: 7012223035 Enrollment ID: I20230627001719 |
| Provider Name | Ashley Nicole Whitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831962117 PECOS PAC ID: 5698122604 Enrollment ID: I20231114000262 |
| Provider Name | Jason Michael Seed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316312267 PECOS PAC ID: 6800213315 Enrollment ID: I20231117000293 |
| Provider Name | Kyle D Watson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073981064 PECOS PAC ID: 3375991672 Enrollment ID: I20231128000219 |
| Provider Name | Reed B. Bisso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821240789 PECOS PAC ID: 3476901786 Enrollment ID: I20231128000608 |
| Provider Name | Mark Hendrickson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023328093 PECOS PAC ID: 9133577356 Enrollment ID: I20231129001334 |
| Provider Name | Jeffrey A Alderman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063860195 PECOS PAC ID: 7911355144 Enrollment ID: I20231129001941 |
| Provider Name | James D Carpenter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013655943 PECOS PAC ID: 2769830892 Enrollment ID: I20231129002249 |
| Provider Name | Yvonda Schwartz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811023161 PECOS PAC ID: 2668780735 Enrollment ID: I20231207003654 |
| Provider Name | Bethelhem Mezgebe Gebreamanuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154183218 PECOS PAC ID: 6901243260 Enrollment ID: I20240321002701 |
| Provider Name | Whitney Ashlyn Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992561328 PECOS PAC ID: 3870931454 Enrollment ID: I20240402000618 |
| Provider Name | Megan Loree Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891206207 PECOS PAC ID: 1557702990 Enrollment ID: I20240515004046 |
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Murrell Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1358 E Kingsley St Ste B, Springfield, MO 65804 Phone: 417-881-1580 Fax: 417-881-7004 | |
Krm Counseling And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 S Broadway Ave, Springfield, MO 65807 Phone: 417-838-9461 | |
Integrative Family Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1340 E Meadowmere St, Springfield, MO 65804 Phone: 417-848-9054 | |
Preferred Family Healthcare Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 S Glenstone Ave, Springfield, MO 65804 Phone: 417-869-8911 Fax: 417-864-3087 |