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NORTHEAST MISSOURI HEALTH COUNCIL INC NPI 1336679836


NPI Information

NPI: 1336679836
Provider Name: NORTHEAST MISSOURI HEALTH COUNCIL INC

Doing Business As: NORTHEAST FAMILY HEALTH ANNEX

Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
1410 CROWN DR
KIRKSVILLE, MO
ZIP 63501
Phone: (660) 627-4493
Get Directions

NORTHEAST MISSOURI HEALTH COUNCIL INC is a psychologist in Kirksville, MO. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. NORTHEAST MISSOURI HEALTH COUNCIL INC NPI is 1336679836. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northeast Family Health Annex.

The provider's business location address is:

1410 CROWN DR
KIRKSVILLE, MO
ZIP 63501-548
Phone: (660) 627-4493

The provider's authorized official is Andrew Grimm .
The authorized official title is Ceo and has the following contact phone number (660) 627-5757.

The enumeration date for this NPI number is 6/16/2017 and was last updated on 7/10/2017.


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
1207Q00000XFamily MedicineNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
3103T00000XPsychologistYes

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: 11/14/2023

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