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APPLIED PSYCHOLOGICAL CENTER LLC NPI 1003018417


NPI Information

NPI: 1003018417
Provider Name: APPLIED PSYCHOLOGICAL CENTER, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2907 INDEPENDENCE ST
SUITE F
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 334-3329
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APPLIED PSYCHOLOGICAL CENTER, LLC is a mental health (including community mental health center) clinic center in Cape Girardeau, MO. APPLIED PSYCHOLOGICAL CENTER, LLC NPI is 1003018417. The provider is registered as an organization entity type.

The provider's business location address is:

2907 INDEPENDENCE ST
SUITE F
CAPE GIRARDEAU, MO
ZIP 63703-044
Phone: (573) 334-3329
Fax: (573) 200-7006

The provider's authorized official is David M Van Pelt .
The authorized official title is Executive Director and has the following contact phone number (573) 334-3329.

The enumeration date for this NPI number is 6/5/2007 and was last updated on 2/10/2014.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)MISSOURIYes

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
1001976787OTHERMISSOURICHILD TREATMENT SERVICES
2506277102MEDICAIDMISSOURI
31821066242MEDICARE UPINMISSOURI
4000014867MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.