Springfield Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2008004866 Issued in MO

Legal business name

SPRINGFIELD PSYCHOLOGICAL SERVICES

Practice address

3863A S Campbell Ave
Springfield, MO 65807-5339

Phone

(417) 882-2211

NPI assigned

Sep 6, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Melissa Lynne Holliday, PSY.D.

Title

Manager

Phone

(417) 882-2211

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Lynne Ussery, PSY.D.

  • Clinical Psychologist
  • Springfield, MO
  • NPI 1073820239
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283731200000",
    "number": "1013224575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3863A S CAMPBELL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075339",
            "telephone_number": "417-882-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863A S CAMPBELL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075339",
            "telephone_number": "417-882-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-06",
        "last_updated": "2010-09-06",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "417-882-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2008004866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springfield Physical Medicine and Rehabilitation, Inc
• Springfield Physical Therapy
• Springfield Physical Therapy & Rehabilitation Center Inc
• Springfield Physical Therapy&Rehabilitation Ctr.Inc.
• Springfield Psychiatry & Addiction Medicine LLC
• Springfield Public Schools R-12
• Springfield Residential Center , Inc.
• Springfield Smiles LLC
• Springfield Sport & Spine, LLC
• Nichole Sprowso, LCSW

• Clinical Psychologist in Springfield, MO
• Providers in Springfield, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.