NPIMap

Organization Active NPI

Midwest Assessment and Psychotherapy Solutions, PC

  • Clinical Psychologist
  • Springfield, MO
National Provider Identifier
1275861809
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2008031131 Issued in MO
Legal business name
MIDWEST ASSESSMENT AND PSYCHOTHERAPY SOLUTIONS, PC
Practice address
2108 W Vista St
Suite 356
Springfield, MO 65807-5918
Phone
(417) 597-4309
Fax
(417) 763-3308
NPI assigned
Nov 19, 2009
Last updated
Aug 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Authorized official

Name
Dr. Adam Andreassen, PSYC
Title
Owner
Phone
(417) 597-4309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2008031131 MO Primary

Addresses

Primary practice location

2108 W Vista St
Suite 356
Springfield, MO 65807-5918

Mailing address

2108 W Vista St
Suite 356
Springfield, MO 65807-5918
Phone (417) 597-4309

Other identifiers 1

IdentifierTypeStateIssuer
1275861809MedicaidMO

National Provider Directory

National Provider Directory

Locations

192 Expressway Ln
Ste 240
Branson, MO 65616
Phone (417) 597-4309

560 W Mount Vernon St
Nixa, MO 65714
Phone (417) 413-1593

2108 W Vista St
Springfield, MO 65807
Phone (417) 597-4309

2108 W Vista St
Ste 356
Springfield, MO 65807
Phone (417) 597-4309

230 N Belcrest Ave
Springfield, MO 65802
Phone (417) 413-4676

3646 S Campbell Ave
Springfield, MO 65807
Phone (417) 597-4309

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1275861809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 W VISTA ST",
            "address_2": "SUITE 356",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075918",
            "telephone_number": "417-597-4309",
            "fax_number": "417-763-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 W VISTA ST",
            "address_2": "SUITE 356",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075918",
            "telephone_number": "417-597-4309",
            "fax_number": "417-763-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ASSESSMENT AND PSYCHOTHERAPY SOLUTIONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "ANDREASSEN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-597-4309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYC"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2008031131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275861809",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.