NPIMap

Organization Active NPI

Great Circle

  • Psychiatric Residential Treatment Facility
  • Springfield, MO
National Provider Identifier
1043942378
Registry record updated Jul 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
GREAT CIRCLE
Practice address
1212 W Lombard St
Springfield, MO 65806-2720
Phone
(844) 424-3577
Fax
(314) 919-4876
NPI assigned
Jun 27, 2022
Last updated
Jul 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2022

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

Authorized official

Name
Paula Ricker Fleming, PHDNPI 1184795320
Title
President & Ceo
Phone
(573) 356-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X NU Primary

Addresses

Primary practice location

1212 W Lombard St
Springfield, MO 65806-2720

Mailing address

330 N Gore Ave
Saint Louis, MO 63119-1600
Phone (844) 424-3577

Other identifiers 1

IdentifierTypeStateIssuer
507009603MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Great Circle14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656892800000",
    "number": "1043942378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N GORE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191600",
            "telephone_number": "844-424-3577",
            "fax_number": "314-919-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 W LOMBARD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062720",
            "telephone_number": "844-424-3577",
            "fax_number": "314-919-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT CIRCLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-04",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "RICKER",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "573-356-0022",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507009603",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; 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.