NPIMap

Organization Active NPI

Southeast Missouri State University Autism Center

  • Community/Behavioral Health Agency
  • Cape Girardeau, MO
National Provider Identifier
1316261621
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTHEAST MISSOURI STATE UNIVERSITY AUTISM CENTER
Practice address
611 N. Fountain St.
Cape Girardeau, MO 63701-7244
Phone
(573) 986-4985
Fax
(573) 986-4994
NPI assigned
Mar 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Dr. Diana Rogers-Adkinson
Title
Dean
Phone
(573) 651-2408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

611 N. Fountain St.
Cape Girardeau, MO 63701-7244

Mailing address

1 University Plaza
Mail Stop 9450
Cape Girardeau, MO 63701-4710
Phone (573) 986-4985

National Provider Directory

National Provider Directory

Locations

1 University Plz
Stop 9450
Cape Girardeau, MO 63701
Phone (573) 986-4985

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1316261621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PLAZA",
            "address_2": "MAIL STOP 9450",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014710",
            "telephone_number": "573-986-4985",
            "fax_number": "573-986-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N. FOUNTAIN ST.",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637017244",
            "telephone_number": "573-986-4985",
            "fax_number": "573-986-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MISSOURI STATE UNIVERSITY AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "ROGERS-ADKINSON",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "DEAN",
        "authorized_official_telephone_number": "573-651-2408",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.