NPIMap

Organization Active NPI

Shirley Eyman

  • Psychiatric Hospital Unit
  • Rolla, MO
National Provider Identifier
1114022498
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
2001002473 Issued in MO
Legal business name
SHIRLEY EYMAN
Doing business as
Shirley Eyman
Practice address
1206 Homelife PLZ
Rolla, MO 65401-2512
Phone
(573) 364-2007
Fax
(573) 364-2007
NPI assigned
Sep 13, 2006
Last updated
Oct 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Shirley L Eyman, MD
Title
Psychiatrist
Phone
(364) 573-2007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 2001002473 MO Primary

Addresses

Primary practice location

1206 Homelife PLZ
Rolla, MO 65401-2512

Mailing address

1206 Homelife PLZ
Rolla, MO 65401-2512
Phone (573) 364-2007

Other identifiers 1

IdentifierTypeStateIssuer
0205785918MedicaidMO

Other names 1

  • Shirley Eyman Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Center Clinic10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1206 Homelife Plz
Rolla, MO 65401
Phone (573) 341-3456

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1114022498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 HOMELIFE PLZ",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012512",
            "telephone_number": "573-364-2007",
            "fax_number": "573-364-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 HOMELIFE PLZ",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012512",
            "telephone_number": "573-364-2007",
            "fax_number": "573-364-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY EYMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "EYMAN",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "364-573-2007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MO",
            "license": "2001002473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0205785918",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shirley Eyman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.