PSYCH ASSOCIATES LLC NPI 1316458441

NPI Information

  • NPI: 1316458441
  • Provider Name: PSYCH ASSOCIATES LLC
  • Classification: Psychologist - 103TH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 1358 E KINGSLEY ST STE E
    SPRINGFIELD, MO
    ZIP 65804
  • Phone: (417) 414-0333

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NPI Details

PSYCH ASSOCIATES LLC is a health service psychologist in Springfield, MO. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). PSYCH ASSOCIATES LLC NPI is 1316458441. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1358 E KINGSLEY ST STE E
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 414-0333
Fax: (417) 268-9114

The provider's authorized official is Gabriel A Cline .
The authorized official title is Owner and has the following contact phone number (417) 414-0333.

The enumeration date for this NPI number is 10/16/2017 and was last updated on 1/4/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TH0100XPsychologistHealth Service2010006114MISSOURIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11558555045MEDICAIDMISSOURI

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: 11/21/2025

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