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CAPITAL REGION MEDICAL CENTER NPI 1326234733


NPI Information

NPI: 1326234733
Provider Name: CAPITAL REGION MEDICAL CENTER

Doing Business As: CAPITAL REGION PHYSICIANS - CENTER FOR MENTAL WELLNESS

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 632-5560
Get Directions

CAPITAL REGION MEDICAL CENTER is a psychiatry psychiatry neurology in Jefferson City, MO. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. CAPITAL REGION MEDICAL CENTER NPI is 1326234733. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Capital Region Physicians - Center For Mental Wellness.

The provider's business location address is:

1432 SOUTHWEST BLVD
JEFFERSON CITY, MO
ZIP 65109-444
Phone: (573) 632-5560
Fax: (573) 632-5875

The provider's authorized official is Tom Luebbering .
The authorized official title is Vp Of Finance and has the following contact phone number (573) 632-5100.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 8/23/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalNo
2103T00000XPsychologistNo
32084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1505995001MEDICAIDMISSOURI
2000013680MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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