Individual provider Active NPI

Donald Austin Frisbie, PSY.D.

  • Health Service Psychologist
  • Joplin, MO
National Provider Identifier
1194808014
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
2005028846 Issued in MO
Practice address
1930 Delaware Ave
Suite 3
Joplin, MO 64804-1059
Phone
(417) 624-4475
Fax
(417) 624-4540
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2005028846 MO
Health Service Psychologist 103TH0100X 2005028846 MO Primary

Addresses

Primary practice location

1930 Delaware Ave
Suite 3
Joplin, MO 64804-1059

Mailing address

1930 Delaware Ave
Suite 3
Joplin, MO 64804-1059
Phone (417) 624-4475

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
I20070117000198 MO Practitioner - Clinical Psychologist 2961417613 Practice locations: Joplin, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

714 S Highland Ave
Joplin, MO 64801-5209
Phone (417) 624-4475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2005028846MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindy Miller LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1194808014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 DELAWARE AVE",
            "address_2": "SUITE 3",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041059",
            "telephone_number": "417-624-4475",
            "fax_number": "417-624-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 DELAWARE AVE",
            "address_2": "SUITE 3",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041059",
            "telephone_number": "417-624-4475",
            "fax_number": "417-624-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISBIE",
        "first_name": "DONALD",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2005028846",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MO",
            "license": "2005028846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.