Organization · Type 2 NPI

State of Missouri

Psychiatry Physician · El Dorado Springs, MO

NPI number 1396798237 Active

Practice location

1301 Industrial Pkwy E
El Dorado Springs, MO 64744-6263

Call (417) 876-1002 Map

Fax (417) 876-1004

Mailing address

1706 E Elm St
Jefferson City, MO 65101-4130

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker	1041C0700X	None listed
Psychiatry Physician Primary	2084P0800X	None listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

9 other providers at this address

NPI record

NPI: 1396798237
Entity type: Organization (Type 2)
Issued: May 19, 2006
Last updated: Aug 26, 2020
Status: Active
Subpart: Yes of State of Missouri

Other names

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Southwest Mo Psychiatric Rehabilitation Center · doing business as
Southwest Mo Psychiatric Rehabilitation Center · doing business as

Authorized official

Molly Jane Boeckmann
Director of Administrative Services
(573) 751-4055

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396798237

State of Missouri's National Provider Identifier is 1396798237, issued on May 19, 2006. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in El Dorado Springs, MO. The record was last updated on Aug 26, 2020.