Individual provider Active NPI

Georgianne Dell Duncan-Hively, PH.D., J.D.

  • Clinical Psychologist
  • Ellisville, MO
National Provider Identifier
1306915269
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
D1007 Issued in MO
Practice address
300 Ozark Trail Dr
Suite 220
Ellisville, MO 63011-2166
Phone
(314) 580-5346
Fax
(636) 398-6845
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 D1007 MO Primary

Addresses

Primary practice location

300 Ozark Trail Dr
Suite 220
Ellisville, MO 63011-2166

Mailing address

PMB 286
1324 Clarkson Clayton Center
Ellisville, MO 63011
Phone (314) 580-5346

Other names 1

  • Dr. Ann Dell Duncan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D1007MOMDClinical Psychologist
01007MOMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306915269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 286",
            "address_2": "1324 CLARKSON CLAYTON CENTER",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "63011",
            "telephone_number": "314-580-5346",
            "fax_number": "636-398-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OZARK TRAIL DR",
            "address_2": "SUITE 220",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112166",
            "telephone_number": "314-580-5346",
            "fax_number": "636-398-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN-HIVELY",
        "first_name": "GEORGIANNE",
        "middle_name": "DELL",
        "name_prefix": "Dr.",
        "credential": "PH.D., J.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "D1007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "DUNCAN",
            "middle_name": "DELL",
            "prefix": "DR.",
            "credential": "PH.D., J.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ellisville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.