DR. THOMAS J SPENCER (NPI# 1538211230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538211230 |
| Entity Type | Individual |
| Full Name | DR. THOMAS J SPENCER |
| Credential | PSY D |
| Practice Address |
2625 Fairway Dr Suite E Fulton MO 65251-3936 |
| Practice Telephone | 5736421775 |
| Practice Fax Number | 5736421850 |
| Mailing Telephone | 5736421775 |
| Mailing Fax Number | 5736421850 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2017-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2003030098 | MO | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2003030098 | MO | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
2003030098 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 498312305 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295796985 | Thomas S Spencer | Emergency Medicine | 104 E Culver Rd, Suite 103, Knox, IN 46534-2216 | 2006-03-31 |
| 1568747863 | Thomas Floyd Spencer | Pharmacist | 335 W Appleway Ave, Coeur D Alene, ID 83814-9306 | 2011-10-18 |
| 1487988713 | Thomas Darrell Spencer Jr. | Counselor | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2009-09-18 |
| 1992958292 | Thomas Maurice Spencer | Pharmacist | 275 Route 30 N, Bomoseen, VT 05732-9647 | 2008-10-30 |
| 1831118835 | Thomas J Spencer | Psychiatry & Neurology | 55 Fruit St Yaw 6900, Child and Adolescent Psychiatry, Boston, MA 02114 | 2006-07-19 |
| 1467482935 | Thomas Rhett Spencer Jr. | Radiology | 401 E Cheves St, Florence, SC 29506-2615 | 2006-07-03 |
| 1063440824 | Thomas Richmond Spencer | Psychologist | 600 East Government Street, Pensacola, FL 32502 | 2006-06-29 |
| Street Address |
2625 FAIRWAY DR SUITE E |
| City | FULTON |
| State | MO |
| Zip Code | 65251-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497731939 | Mary Beth Debrodie | Social Worker | 2625 Fairway Dr, Suite E, Fulton, MO 65251-3936 | 2005-12-16 |
| 1871905026 | Rebecca Seitz Lcsw, LLC | Social Worker | 2625 Fairway Dr, Fulton, MO 65251-4023 | 2014-05-22 |
| 1245665801 | Brian Gerard Mcandrew Jr. | Social Worker | 2625 Fairway Dr, Fulton, MO 65251-4023 | 2013-09-13 |
| 1922446343 | Rebecca Marie Seitz | Social Worker | 2625 Fairway Dr, Suite A2, Fulton, MO 65251-4023 | 2013-06-07 |
| 1548530355 | Alyssa Toalson | Physical Therapist | 2625 Fairway Dr, Suite C, Fulton, MO 65251-4023 | 2012-01-10 |
| 1700161718 | Anne Marie Rulo | Counselor | 2625 Fairway Dr, Fulton, MO 65251-4023 | 2011-10-21 |
| 1598040503 | Callaway Counseling LLC | Marriage & Family Therapist | 2625 Fairway Dr, Fulton, MO 65251-4023 | 2011-10-21 |
| 1316247265 | Jennifer Patrick, Lcsw, Limited | Social Worker | 2625 Fairway Dr, Ste. A, Fulton, MO 65251-4023 | 2010-10-26 |
| 1669653408 | Donna G Merritt | Counselor | 2625 Fairway Dr, Suite E, Fulton, MO 65251-3936 | 2007-11-20 |
| 1801015342 | Psycare of Callaway County, LLC | Social Worker | 2625 Fairway Dr, Suite E, Fulton, MO 65251-3936 | 2007-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174008023 | East Central Missouri Behavioral Health Services, Inc. | Psychiatry & Neurology | 581 Commons Drive, Fulton, MO 65251 | 2018-09-26 |
| 1659888428 | Annette Marie Holt | Nurse Practitioner | 350 Country Meadows Lane, Fulton, MO 65251 | 2018-01-03 |
| 1922458454 | Benjamin Newell Crary | Family Medicine | 110 N Hosital Dr, Fulton, MO 65251 | 2016-06-15 |
| 1750763348 | Ssm Audrain Health Care, Inc | Clinic/Center | 350 Country Meadow Ln, Fulton, MO 65251 | 2015-06-19 |
| 1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
| 1881019750 | Mid-missouri Hearing and Balance, Inc. | Audiologist-Hearing Aid Fitter | 850 W. Hospital Drive, Ste. G, Fulton, MO 65251 | 2014-02-28 |
| 1861828105 | Justin Ryan Campbell | Occupational Therapist | 508 Saint Eunice Road, Fulton, MO 65251 | 2013-09-18 |
| 1417257536 | June A Dillon | Counselor | 2625 Fairway Dr., Suite E, Fulton, MO 65251 | 2010-10-22 |
| 1033354196 | Michael K Mcelhinney | Specialist/Technologist | One University Avenue, William Woods University - Athletics, Fulton, MO 65251 | 2008-12-03 |
| 1326299967 | Karanbir Sandhu | Dentist | 1393 Highway O, Fulton, MO 65251 | 2008-10-01 |
| Find all providers in zip 65251 | ||||
| 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 |
|---|---|---|---|---|
| 1417272287 | Lee Ann Mcvay | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2010-04-05 |
| 1023269594 | Bryan Zolnikov | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2008-10-02 |
| 1376729616 | Anthony Menditto | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2008-01-17 |
| 1124201603 | Sharon Robbins | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2007-12-07 |
| 1962685446 | John Edd Bucklew | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2007-12-07 |
| 1760427983 | Mohammad H Mojdehi | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2006-06-19 |
| 1669414751 | Marc C Maddox | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2006-06-12 |
| 1104868199 | Eric Martin | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2006-06-12 |
| 1427090695 | Jeffrey S. Kline | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2006-06-12 |
| 1588606529 | James Coleman | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2006-06-12 |
| Find all providers in FULTON | ||||
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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.