Family Institute of the Ozarks

Primary specialty

PsychologistTaxonomy code 103T00000X

License

00749 Issued in MO

Legal business name

FAMILY INSTITUTE OF THE OZARKS

Practice address

315 S Main Ave
Bolivar, MO 65613-2052

Phone

(417) 326-2902

Fax

(417) 326-4555

NPI assigned

Nov 6, 2006

Last updated

Dec 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald N. Kemp, D.MIN.

Title

Director

Phone

(417) 326-2902

Specialties & licenses 11

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Louis B Harris, M.D.

  • Family Medicine Physician
  • Bolivar, MO
  • NPI 1922018076
  NPD (past)
• Sylvia B McQueary, PSY.D.

  • Psychologist
  • Bolivar, MO
  • NPI 1457491490
  NPD (past)
• Kristi June Webb, LPC

  • Professional Counselor
  • Bolivar, MO
  • NPI 1952628109
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1023197274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656130909",
            "telephone_number": "417-326-2902",
            "fax_number": "417-326-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S MAIN AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132052",
            "telephone_number": "417-326-2902",
            "fax_number": "417-326-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY INSTITUTE OF THE OZARKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "417-326-2902",
        "authorized_official_credential": "D.MIN."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2003031288",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2004037100",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2002023735",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "01577",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "01731",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2002030479",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2002004681",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "00749",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "004758",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2000172760",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "300020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura M Entwisle
• Matthew Campbell Ericksen, D.O.
• Michael William Etches, MD
• Ronald A Evans, M.D.
• Exodus 23 Real Estate Company LLC
• Family Pharmacy of Missouri LLC (Family Pharmacy #20)
• Fatino Counseling, LLC
• Daniel J Ferguson, FNP-C
• Stephen N Finzo Jr., PSYD
• First Serve LLC

• Psychologist in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.