Individual provider Active NPI

Adrian J Whitmire, PH.D.

  • Clinical Psychologist
  • Springfield, MO
National Provider Identifier
1083934228
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2006029886 Issued in MO
Practice address
3525 S National Ave Ste 206
Springfield, MO 65807-7315
Phone
(417) 269-6891
Fax
(417) 269-5595
NPI assigned
Jun 10, 2010
Last updated
May 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2006029886 MO Primary

Addresses

Primary practice location

3525 S National Ave Ste 206
Springfield, MO 65807-7315

Mailing address

PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430

Other practice location 1

525 Branson Landing Blvd Ste 219A
Branson, MO 65616-2052
Phone (417) 269-6891

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
I20100827000713 MO Practitioner - Clinical Psychologist 6103940135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 5799787784, 240 clinicians

Practice addresses (Care Compare)

1423 N Jefferson Ave
Springfield, MO 65802-1917

3525 S National Ave
Suite 206
Springfield, MO 65807-7315
Phone (417) 269-6891

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
74.39
Promoting interoperability
100
Improvement activities
40
Cost
78.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006029886MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers Current Accepting new patients
Lester E Cox Medical Centers CurrentSince Oct 1, 2019 Accepting new patients
Lester E Cox Medical Centers Clinical CurrentSince Oct 1, 2019 Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients

Locations

3800 S National Ave
Ste 770
Springfield, MO 65807

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

3525 S National Ave
Ste 206
Springfield, MO 65807
Phone (417) 269-9200

Organizations & group practices 6

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": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1083934228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 S NATIONAL AVE STE 206",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077315",
            "telephone_number": "417-269-6891",
            "fax_number": "417-269-5595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Branson Landing Blvd Ste 219A",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162052",
            "country_code": "US",
            "telephone_number": "417-269-6891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITMIRE",
        "first_name": "ADRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-10",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2006029886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.