Danae L Hudson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2005005752 Issued in MO

Practice address

1320 E Kingsley St Ste a
Springfield, MO 65804-7228

Phone

(417) 689-4789

NPI assigned

Mar 5, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1184998346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 S PIN OAK DR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658093142",
            "telephone_number": "417-689-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 E KINGSLEY ST STE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047228",
            "telephone_number": "417-689-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "DANAE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2005005752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leroy N Hubler, DPM
• Garret Hucal, DDS
• Roger E. Huckfeldt, MD
• Hannah M Huddleston, PLPC
• Cody David Hudson, FNP
• Faye Denise Hudson, A.T.,C
• Geoffrey Hudson, DACM, L.AC.
• Michael Brian Hudson, PHD, ATC
• Silvia Huebner, M.D.
• Megan D. Huff, PA-C

• Clinical Psychologist in Springfield, MO
• Providers in Springfield, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.