Mercy Clinic Springfield Communities | |
1312 E Lark St Springfield MO 65804-7351 | |
(417) 820-3707 | |
(417) 820-7954 |
Full Name | Mercy Clinic Springfield Communities |
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Speciality | Psychologist |
Location | 1312 E Lark St, Springfield, Missouri |
Authorized Official Name and Position | Donn E. Sorensen (SENIOR VICE PRESIDENT/COO) |
Authorized Official Contact | 4178296556 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mercy Clinic Springfield Communities Po Box 2580 Springfield MO 65801-2580 Ph: (417) 829-4620 | Mercy Clinic Springfield Communities 1312 E Lark St Springfield MO 65804-7351 Ph: (417) 820-3707 |
NPI Number | 1881636884 |
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Provider Enumeration Date | 06/12/2006 |
Last Update Date | 08/13/2013 |
Medicare PECOS PAC ID | 7416865845 |
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Medicare Enrollment ID | O20040823000021 |
Identifier | Type | State | Issuer |
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1881636884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Joyce C Noble |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1700929288 PECOS PAC ID: 6204819295 Enrollment ID: I20040610000987 |
Provider Name | Angela S Gill-taylor |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1548304215 PECOS PAC ID: 5597739953 Enrollment ID: I20040823000024 |
Provider Name | John R Essman |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1053459834 PECOS PAC ID: 3678530789 Enrollment ID: I20041210000029 |
Provider Name | Robert King |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1992729016 PECOS PAC ID: 9032177407 Enrollment ID: I20050408000230 |
Provider Name | Richard Thayer |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1396781399 PECOS PAC ID: 4183665243 Enrollment ID: I20050518001127 |
Provider Name | Nancy M Service |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1528101888 PECOS PAC ID: 8325064298 Enrollment ID: I20051020000079 |
Provider Name | Shawn E Freeman |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1497725147 PECOS PAC ID: 9931296381 Enrollment ID: I20071101000025 |
Provider Name | Philip K Mothersead |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1700995677 PECOS PAC ID: 5597823328 Enrollment ID: I20081023000489 |
Provider Name | Michael M Whetstone |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1306843735 PECOS PAC ID: 8325109226 Enrollment ID: I20081210000811 |
Provider Name | Anne R Colvin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1265556633 PECOS PAC ID: 5991859993 Enrollment ID: I20090810000476 |
Provider Name | Joseph A Pulleyking |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1831237619 PECOS PAC ID: 5092848093 Enrollment ID: I20100728000036 |
Provider Name | Nancy G Mattax |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1154657385 PECOS PAC ID: 6002940277 Enrollment ID: I20100810001145 |
Provider Name | Nancy L Breuer |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1508904459 PECOS PAC ID: 5890829741 Enrollment ID: I20100814000252 |
Provider Name | Bobbi J Craigmyle |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1942342043 PECOS PAC ID: 9830223304 Enrollment ID: I20100819000282 |
Provider Name | Daniel D Meadows |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1205038874 PECOS PAC ID: 1254523129 Enrollment ID: I20101011000478 |
Provider Name | Rhonda R Germany |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679617336 PECOS PAC ID: 1153514674 Enrollment ID: I20101018000016 |
Provider Name | Sara A Neal |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1962540211 PECOS PAC ID: 2062605074 Enrollment ID: I20101022000703 |
Provider Name | Lindsey M Reichert Gully |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1851586838 PECOS PAC ID: 3072770395 Enrollment ID: I20120128000014 |
Provider Name | Kimberly E Dionysus-rouintree |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1164709747 PECOS PAC ID: 7113185075 Enrollment ID: I20120223000131 |
Provider Name | Richard J Mulrenin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1013228071 PECOS PAC ID: 0345491965 Enrollment ID: I20121108000049 |
Provider Name | Erin R Golden |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1992981195 PECOS PAC ID: 0143454470 Enrollment ID: I20130927000686 |
Provider Name | Michael Walsh |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1639194111 PECOS PAC ID: 9638458177 Enrollment ID: I20161128000916 |
Provider Name | Ethan Potter |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275188799 PECOS PAC ID: 7012386493 Enrollment ID: I20221206003051 |
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