Thomas Witty, PHD | |
3800 S National Ave Ste 770, Springfield, MO 65807-5283 | |
(417) 269-6891 | |
(417) 269-5595 |
Full Name | Thomas Witty |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 29 Years |
Location | 3800 S National Ave Ste 770, Springfield, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356382824 | NPI | - | NPPES |
00356047 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 2011028255 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lester E Cox Medical Centers | 5799787784 | 194 |
Entity Name | Lester E Cox Medical Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356469498 PECOS PAC ID: 1254248917 Enrollment ID: O20040408000380 |
Entity Name | Lester E Cox Medical Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073905915 PECOS PAC ID: 5799787784 Enrollment ID: O20150608002749 |
Mailing Address | Practice Location Address |
---|---|
Thomas Witty, PHD Po Box 4046, Springfield, MO 65808-4046 Ph: (417) 269-5712 | Thomas Witty, PHD 3800 S National Ave Ste 770, Springfield, MO 65807-5283 Ph: (417) 269-6891 |
Suzanne Pamela Demier, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-6891 Fax: 417-269-5595 | |
Jason R Glass, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1312 E Lark St, Springfield, MO 65804 Phone: 417-820-7954 | |
Roberta D Celaya, PLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1350 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5000 | |
Dr. Robert Duane Forsyth, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4375 E Kingsbury St, Springfield, MO 65809 Phone: 417-882-8393 Fax: 417-886-6778 | |
Ryan Grant Jones, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1864 S Kentwood Ave, Springfield, MO 65804 Phone: 417-880-6838 Fax: 417-374-0074 | |
Robert Christian Doneski, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1505 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-322-6622 Fax: 417-350-1935 | |
Dr. Crystal M Beckham, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1300 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5000 Fax: 417-761-5065 |