Shelly M Ossana PHD LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SHELLY M OSSANA PHD LLC

Practice address

2804 Forum Blvd # 3a
Columbia, MO 65203-6661

Phone

(573) 289-8348

NPI assigned

Jul 7, 2023

Organization subpart

No

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

Authorized official

Name

Jessica Wisneski

Title

Biller

Phone

(913) 963-0958

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

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

• Shelly Melich Ossana, PHD

  • Psychologist
  • Columbia, MO
  • NPI 1821163031
  Medicare reassignment NPD
• Jessica Back, LCSW

  • Clinical Social Worker
  • Columbia, MO
  • NPI 1346658465
  NPD (past)
• Henry David Schneider, PH.D., LCSW

  • Clinical Social Worker
  • Columbia, MO
  • NPI 1346329430
  NPD (past)

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1063190254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 FORUM BLVD # 3A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036661",
            "telephone_number": "573-289-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 FORUM BLVD # 3A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036661",
            "telephone_number": "573-289-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY M OSSANA PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "WISNESKI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "913-963-0958"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen John Sheinkopf, PHD
• Mary J Shellabarger, ACNS
• Shelley Ann Lyle DDS PC
• Shelley Williams O.D., P.C.
• Laurie Ann Shellhart, FNP-BC
• Sheltering Arms Day Center
• Darian Shelton
• James A Shelton, M.D.
• Joshua Shelton, PHD
• Katie A Shelton, MS RDN LD

• Adult Mental Health Clinic/Center in Columbia, MO
• Providers in Columbia, MO by specialty
• Adult Mental Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.