MONITEAU MENTAL HEALTH CARE (NPI# 1780848747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780848747 |
| Entity Type | Organization |
| Organization Name | MONITEAU MENTAL HEALTH CARE |
| Practice Address |
320 S Oak St California MO 65018-1824 |
| Mailing Address |
Po Box 5111 Springfield MO 65801-5111 |
| Practice Telephone | 5732301037 |
| Mailing Telephone | 4174292180 |
| Mailing Fax Number | 4178329799 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |
| Authorized Official Name | MRS. KELLIE L SHUCK (OWNER) |
| Authorized Official Telephone | 5737962905 |
| Authorized Official Credential | APRN-PMH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
2000161947 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 427531801 | 05 |
| Street Address |
320 S OAK ST |
| City | CALIFORNIA |
| State | MO |
| Zip Code | 65018-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245774470 | Barbara Jane Blank | Case Manager/Care Coordinator | 320 S Oak St, California, MO 65018-1824 | 2016-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255765194 | William Wallace | Counselor | 318 S Oak, California, MO 65018 | 2013-08-28 |
| 1114239092 | Jill Denise Smith Radkowiec | Optometrist | 202 E North Street, California, MO 65018 | 2010-07-08 |
| 1346269974 | Eric C Lange | Physical Therapist | 604 East Buchanan Street, California, MO 65018 | 2006-07-18 |
| 1639137003 | Jason R Hoffmeyer | Social Worker | 318 Oak St, California, MO 65018 | 2006-05-03 |
| 1376515783 | Richard O Watson | Internal Medicine | 704 Buchanan, Hwy 50 W, California, MO 65018 | 2006-02-02 |
| 1730151143 | Capital Region Medical Center | Family Medicine | 704 Buchanan Hwy Sw, California, MO 65018 | 2006-02-02 |
| 1912384256 | You Turn Inc | Community/Behavioral Health | 318 S Oak, California, MO 65018 | 2015-05-06 |
| 1295707693 | Jan Finney | General Practice | 704 Buchanan, Hwy 50 W, California, MO 65018 | 2006-02-02 |
| 1285795740 | Moniteau County R-i School | Local Education Agency (LEA) | 211 S Owen St, Suite B, California, MO 65018-1115 | 2006-12-12 |
| 1730363789 | Trisha Lynn Meisenheimer | Physical Therapist | 101 S Owen St, California, MO 65018-1150 | 2007-12-27 |
| Find all providers in zip 65018 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598753337 | Linda E Miller | Clinical Nurse Specialist | 810 Derhake Rd, Florissant, MO 63033-5823 | 2005-10-06 |
| 1316934516 | Barbara J Mcdowell | Clinical Nurse Specialist | 121 Civic Center Dr, Suite 222, Lake St Louis, MO 63367-3027 | 2005-10-03 |
| 1508254954 | Cindy A Mayberry Apn LLC | Clinical Nurse Specialist | 705 E Laharpe St Ste D, Kirksville, MO 63501-4526 | 2015-01-07 |
| 1326334087 | Marie T Conner | Clinical Nurse Specialist | 1301 Industrial Pkwy E, El Dorado Springs, MO 64744-6263 | 2011-06-21 |
| 1144457144 | Judith Ann Tubbs | Clinical Nurse Specialist | 211 Ne 54th St, Suite 201, Kansas City, MO 64118-4390 | 2009-06-17 |
| 1154572808 | Peggy Curry Gleason | Clinical Nurse Specialist | 1 Jefferson Barracks Dr, Department of Veterans Affairs Medical Center, Saint Louis, MO 63125-4181 | 2008-09-30 |
| 1841214335 | Margaret J Brothers | Clinical Nurse Specialist | 1085 Maple St, Farmington, MO 63640-1955 | 2006-07-27 |
| 1841234275 | Freeman-oak Hill Health System | Clinical Nurse Specialist | 1102 W 32nd St, Joplin, MO 64804-3503 | 2006-06-15 |
| 1598713208 | Margaret Ann Yoest | Clinical Nurse Specialist | 551 E Southampton Dr, Columbia, MO 65201-4236 | 2006-05-05 |
| 1669430591 | Barbara Scheiper Latal | Clinical Nurse Specialist | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2006-05-02 |
| Find all providers with the same taxonomy | ||||
| City | CALIFORNIA |
| Zip Code | 65018 |
Please comment or provide details below to improve the information on MONITEAU MENTAL HEALTH CARE.
| 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.