PEDIATRIC NEUROPSYCHOLOGICAL SERVICES, LLC (NPI# 1366790941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366790941 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC NEUROPSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
175 S. Marshall Suite G Rogersville MO 65742 |
| Practice Telephone | 4177531963 |
| Practice Fax Number | 4177539405 |
| Mailing Telephone | 4177531963 |
| Mailing Fax Number | 4177539405 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |
| Authorized Official Name | DR. DAWN H HUBER (MANAGING MEMBER) |
| Authorized Official Telephone | 4177531963 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 2008011433 | MO | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
2008011433 | MO | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2008011433 | MO | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
2008011433 | MO | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
2008011433 | MO | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 2008011433 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730227745 | Pediatric Neuropsychological Services, LLC | Clinical Neuropsychologist | 7 Garage Rd, Unit D, Southbury, CT 06488-3884 | 2007-02-02 |
| Street Address |
175 S. MARSHALL SUITE G |
| City | ROGERSVILLE |
| State | MO |
| Zip Code | 65742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851953103 | Sara L Newhard | Counselor | 3955 S. Farm Road 223, Rogersville, MO 65742 | 2019-07-07 |
| 1235653551 | Madison Marie Parson | Physical Therapy Assistant | 586 Cottonwood Rd., Rogersville, MO 65742 | 2017-07-28 |
| 1548612062 | Jonathan Price | Student in an Organized Health Care Education/Training Program | 5649 South Highway 125, Rogersville, MO 65742 | 2016-07-08 |
| 1245426436 | Lori Ann Cole | Occupational Therapist | 113 E. Center St., Ozark Therapy Institute, Rogersville, MO 65742 | 2007-09-20 |
| 1942335203 | Sgoh Acquisition Inc | Clinic/Center | 101 South Main, Rogersville, MO 65742 | 2007-02-23 |
| 1922190842 | Bret E Herrman | Chiropractor | 319 S Main, Ste F, Rogersville, MO 65742-0228 | 2006-09-28 |
| 1952804668 | Equi-librium Therapy Center | Clinic/Center | 1148 S Courtney Ln, Rogersville, MO 65742-4501 | 2018-03-09 |
| 1134167331 | Theodore Brooke Nelson | Physical Therapist | 5764 S Farm Road 203, Rogersville, MO 65742-6436 | 2006-06-02 |
| 1598998775 | Nelson Physical Therapy and Rehab, P.C. | Physical Therapist | 5764 S Farm Road 203, Rogersville, MO 65742-6436 | 2009-09-03 |
| 1639577752 | Megan Menton | Speech-Language Pathologist | 514 Patriot Place Dr, Rogersville, MO 65742-6527 | 2014-12-06 |
| Find all providers in zip 65742 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894427 | Shraddha Niphadkar | Psychologist | 406 South 6th Street 119 Parker Hall, Columbia, MO 65211-0001 | 2020-09-01 |
| 1750994547 | Ashley Brauer | Psychologist | 231 W Lockwood Ave Ste 202, Saint Louis, MO 63119-2951 | 2020-08-31 |
| 1316559594 | Core Therapy & Diagnostics, LLC | Psychologist | 186 S Payne Stewart Dr Ste 151, Branson, MO 65616-2792 | 2020-08-19 |
| 1538770284 | Meigs Psychological Services LLC | Psychologist | 529 Newport Ave, Saint Louis, MO 63119-2517 | 2020-08-14 |
| 1235748773 | Kendra Krietsch | Psychologist | 1 Childrens Pl # 3n-14, Saint Louis, MO 63110-1002 | 2020-07-30 |
| 1427674001 | Laura Ellen Glover-orr | Psychologist | 5719 Delor St, Saint Louis, MO 63109-2831 | 2020-06-19 |
| 1154941359 | Kimberly Hinman | Psychologist | 17 W 66th St, Kansas City, MO 64113-1825 | 2020-04-17 |
| 1376069674 | Petra Jo Mcguire | Psychologist | 2104 S Garrison Ave, Carthage, MO 64836-3614 | 2017-08-17 |
| 1740701762 | Krownapple Kare, PC | Psychologist | 3400 South Jefferson, St Louis, MO 63118-3120 | 2017-06-29 |
| 1902338304 | James Feinberg | Psychologist | 10900 Manchester Rd Ste 201, Kirkwood, MO 63122-1200 | 2017-04-03 |
| Find all providers with the same taxonomy | ||||
| City | ROGERSVILLE |
| Zip Code | 65742 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.