Hope House Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2006006564 Issued in MO

Legal business name

HOPE HOUSE PSYCHOLOGICAL SERVICES, LLC

Practice address

204 N Poplar St
Fair Play, MO 65649-9298

Phone

(417) 861-9448

NPI assigned

Jul 3, 2008

Last updated

Jul 17, 2008By 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

Cristie Sealey Erven, PH.D.

Title

Licensed Psychologist

Phone

(417) 861-9448

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1083877500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "FAIR PLAY",
            "state": "MO",
            "postal_code": "656490145",
            "telephone_number": "417-861-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N POPLAR ST",
            "city": "FAIR PLAY",
            "state": "MO",
            "postal_code": "656499298",
            "telephone_number": "417-861-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HOUSE PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "ERVEN",
        "authorized_official_first_name": "CRISTIE",
        "authorized_official_middle_name": "SEALEY",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "417-861-9448",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2006006564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cayman's House of Hope, Inc.
• Fair Play R-II School District
• Michelle Parsons, MS, CCC-SLP
• Barbara Ann Streid, MSCCC-SLP

• Clinical Psychologist in Fair Play, MO
• Providers in Fair Play, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.