Individual provider Active NPI

Ben Lanpher, PH.D.

  • Psychologist
  • Bloomfield, MO
National Provider Identifier
1063593499
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2000160891 Issued in MO
Practice address
500 South Prairie
Bloomfield, MO 63825-0500
Phone
(573) 895-2145
Fax
(573) 895-2146
NPI assigned
Oct 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2000160891 MO Primary

Addresses

Primary practice location

500 South Prairie
Bloomfield, MO 63825-0500

Mailing address

19103 State Highway C
Advance, MO 63730-8070
Phone (573) 722-5797

Other identifiers 1

IdentifierTypeStateIssuer
493428833MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130608000054 MO Practitioner - Clinical Psychologist 2567457955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
67.07 of 100Reported as apm
Quality
85.4
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Medical Center Current Accepting new patients
Saint Francis Medical Center CurrentSince Aug 1, 2016 Accepting new patients
Saint Francis Medical Center CurrentSince Aug 1, 2016 Accepting new patients
Community Counseling Center PastSince Apr 15, 2009 Accepting new patients
Community Counseling Center Past Accepting new patients

Locations

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

1012 N Main St
Sikeston, MO 63801
Phone (573) 471-0330

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063593499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19103 STATE HIGHWAY C",
            "city": "ADVANCE",
            "state": "MO",
            "postal_code": "637308070",
            "telephone_number": "573-722-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SOUTH PRAIRIE",
            "city": "BLOOMFIELD",
            "state": "MO",
            "postal_code": "638250500",
            "telephone_number": "573-895-2145",
            "fax_number": "573-895-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANPHER",
        "first_name": "BEN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2000160891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493428833",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, MO

Sources for this page

Verify at the official NPI Registry.