NOVA CENTER OF THE OZARKS INC. (NPI# 1811029440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811029440 |
| Entity Type | Organization |
| Organization Name | NOVA CENTER OF THE OZARKS INC. |
| Practice Address |
524 S Union Ave Springfield MO 65802-2660 |
| Practice Telephone | 4178893121 |
| Practice Fax Number | 4178812214 |
| Mailing Telephone | 4178893121 |
| Mailing Fax Number | 4178812214 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CONNIE CLINE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4178893121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers | ||
| X | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| X | 251S00000X | Community/Behavioral Health | Agencies | ||
| X | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| X | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| X | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
524 S UNION AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65802-2660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
| 1962968867 | Chad Michael Linck | Specialist/Technologist | 2125 N Glenstone Ave, Springfield, MO 65802 | 2019-02-15 |
| 1790254647 | Meds To Live By | Pharmacist | 1134 N. Scarlett Way, Springfield, MO 65802 | 2018-11-21 |
| 1568945103 | Ficom | Non-Pharmacy Dispensing Site | 1308 North Glenstone Avenue, Springfield, MO 65802 | 2018-09-10 |
| 1982194775 | Karla Caballero | Marriage & Family Therapist | 8627 Montant Fort Way, 145, Sprinfield, MO 65802 | 2018-05-16 |
| 1780191809 | Tiffany Chawntay Coryell | Pharmacist | 1134 North Scarlett Way, Springfield, MO 65802 | 2018-01-10 |
| 1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
| 1407389596 | Medical Mile Imaging | Radiology | 3905 E Windsmore Dr, Springfield, MO 65802 | 2017-04-06 |
| 1346619103 | Jill A Knight | Occupational Therapist | 1601 E. Pythian, Green Valley State School, Springfield, MO 65802 | 2015-09-22 |
| 1447653258 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3720 E Sunshine St, Springfield, MO 65802 | 2014-10-07 |
| Find all providers in zip 65802 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770105793 | Emily Mirriam Morgan IIi | Psychologist | 1013 Winnie St, Poplar Bluff, MO 63901-6457 | 2020-05-13 |
| 1720565286 | Tonalisha Monique Sullivan | Psychologist | 5730 Garfield Ave, Kansas City, MO 64130-3340 | 2018-07-26 |
| 1871002865 | Denay M Reynolds | Psychologist | 5261 Delmar Blvd Ste 207, Saint Louis, MO 63108-1094 | 2017-09-22 |
| 1770757841 | Wildwood Cottage | Psychologist | 11212 E 71st St, Raytown, MO 64133-6801 | 2008-04-18 |
| 1407026057 | Mary L. Hester | Psychologist | 3128 St. Vincent Ave, St. Louis, MO 63104-1418 | 2008-03-10 |
| 1437327426 | All Action Contractors | Psychologist | 3530 Locust St, Kansas City, MO 64109-2263 | 2008-02-13 |
| 1255516621 | Merrick Care Corp | Psychologist | 100 20th Ave S, Greenwood, MO 64034-8611 | 2008-01-04 |
| 1598988669 | Vera Goodloe Rice | Psychologist | 895 Graham Rd, Florissant, MO 63031-7051 | 2007-04-10 |
| 1225156912 | Maria Renee Carron | Psychologist | 6614 Clayton Rd, #179, Saint Louis, MO 63117-1602 | 2007-03-27 |
| 1699892885 | Michael Arthur Mcleod | Psychologist | 724 Rolfe Dr, Saint Louis, MO 63122-1648 | 2007-03-23 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 65802 |
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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.