EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERIVES, INC (NPI# 1376607432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376607432 |
| Entity Type | Organization |
| Organization Name | EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERIVES, INC |
| Other Organization Name | OPTIONS UNLIMITED |
| Practice Address |
340 Kelley Pkwy Mexico MO 65265-3811 |
| Practice Telephone | 5735821234 |
| Practice Fax Number | 5735821212 |
| Mailing Telephone | 5735821234 |
| Mailing Fax Number | 5735821212 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | TERRY MACKEY (PRESIDENT) |
| Authorized Official Telephone | 5735821234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
5726-7685 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 150328102 | 05 |
| Other Name | Type Code |
|---|---|
| Arthur Center Behavioral Health | Doing Business As Name - Organization |
| Options Unlimited | Other Name - Individual/Organization |
| Street Address |
340 KELLEY PKWY |
| City | MEXICO |
| State | MO |
| Zip Code | 65265-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125552 | Cynthia Mae Mackey | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2005-06-21 |
| 1912517749 | David H Kang | Dentist | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2020-08-06 |
| 1437771789 | Amy N Fuemmeler | Counselor | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2020-05-09 |
| 1013559517 | Kristen Ann Fishback | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-10-16 |
| 1861034381 | Kimberly Mae Kirklin | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-10-16 |
| 1851942619 | Kelsey Kingsborough | Nurse Practitioner | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-09-24 |
| 1619538923 | Ailene Invencion | Dentist | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-06-26 |
| 1851853923 | Sandra Ann Willis | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-04-05 |
| 1962969667 | Haley Elizabeth Auwarter | Counselor | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-02-28 |
| 1568953057 | Lab One LLC | Clinical Medical Laboratory | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2018-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700448685 | Joanna Zidick Mcclarey | Specialist/Technologist | Rehabilitation Services, 711 E Jackson, Mexico, MO 65265 | 2019-07-01 |
| 1053858050 | Glenna Wilson | Social Worker | 2462 Southern Hls, Mexico, MO 65265 | 2017-01-27 |
| 1457601759 | Bruce Warren Garrett | Dentist | 626 Summit, Mexico, MO 65265 | 2012-09-13 |
| 1063775997 | Brandon Jay Glasgow | Physical Therapist | 2759 A S Clark, Mexico, MO 65265 | 2012-06-15 |
| 1407044548 | Missouri Central Physical Therapy, LLC | Specialist | 2759 A South Clark, Mexico, MO 65265 | 2007-10-12 |
| 1194925628 | Curators of The University of Missouri | Orthopaedic Surgery | 515 East Promenade, Mexico, MO 65265 | 2007-07-23 |
| 1740496199 | Scott Simmons | Family Medicine | 1000 Webster Street, Mexico, MO 65265 | 2007-05-15 |
| 1083741664 | Finck & Associates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17079 Audrain County Road 929, Mexico, MO 65265 | 2007-02-28 |
| 1417005893 | Matthew Eugene Hart | Emergency Medicine | 620 E Monroe Street, Mexico, MO 65265 | 2007-01-08 |
| 1144392051 | Corrine M Floyd | Massage Therapist | 713 East Jackson, Mexico, MO 65265 | 2006-11-15 |
| Find all providers in zip 65265 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104980267 | East Central Missouri Behavioral Health Services, Inc | Psychologist | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2006-12-21 |
| 1457415515 | East Central Missouri Behavioral Health Services, Inc | Psychologist | 340 Kelley Pkwy, Mexico, MO 65265 | 2006-12-21 |
| 1356404636 | East Central Missouri Behavioral Health Services, Inc | Psychologist | 340 Kelley Pkwy, Mexico, MO 65265 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912484 | Bonnie B. Walbran | Psychologist | 859 Edlin Dr, Saint Louis, MO 63122-1615 | 2005-06-14 |
| 1578199238 | State of Missouri | Psychologist | 1706 E Elm St, Jefferson City, MO 65101-4130 | 2020-03-13 |
| 1447886288 | State of Missouri | Psychologist | 1706 E Elm St, Jefferson City, MO 65101 | 2020-03-12 |
| 1568811354 | Danasty Marie Lewis | Psychologist | 3001 Warrior Lane, Poplar Bluff, MO 63901 | 2016-06-13 |
Please comment or provide details below to improve the information on EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERIVES, INC.
| 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.