NPIMap

Organization Active NPI

Counseling & Psychological Services, University of Central Missouri

  • Community/Behavioral Health Agency
  • Warrensburg, MO
National Provider Identifier
1407993744
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PY01533 Issued in MO
Legal business name
COUNSELING & PSYCHOLOGICAL SERVICES, UNIVERSITY OF CENTRAL MISSOURI
Practice address
Humphreys BLDG Ste131
University of Central Missouri
Warrensburg, MO 64093-5176
Phone
(660) 543-4060
Fax
(660) 543-8277
NPI assigned
Jan 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul Dallas Polychronis, PH.D.NPI 1366473936
Title
Assistant Director of Uhs for CPS
Phone
(660) 543-4060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PY01533 MO Primary

Addresses

Primary practice location

Humphreys BLDG Ste131
University of Central Missouri
Warrensburg, MO 64093-5176

Mailing address

Humphreys BLDG Ste131
University of Central Missouri
Warrensburg, MO 64093-5176
Phone (660) 543-4060

Other identifiers 1

IdentifierTypeStateIssuer
10537821OtherMOTAX IDENTIFICATION NUMBER

Other names 1

  • University of Central Missouri Counseling & Psychological Services Other name

National Provider Directory

National Provider Directory
Tax ID family
University of Central Missouri Student Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407993744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HUMPHREYS BLDG STE131",
            "address_2": "UNIVERSITY OF CENTRAL MISSOURI",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640935176",
            "telephone_number": "660-543-4060",
            "fax_number": "660-543-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HUMPHREYS BLDG STE131",
            "address_2": "UNIVERSITY OF CENTRAL MISSOURI",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640935176",
            "telephone_number": "660-543-4060",
            "fax_number": "660-543-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING & PSYCHOLOGICAL SERVICES, UNIVERSITY OF CENTRAL MISSOURI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLYCHRONIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DALLAS",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR OF UHS FOR CPS",
        "authorized_official_telephone_number": "660-543-4060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "PY01533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "10537821",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Central Missouri Counseling & Psychological Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Warrensburg, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.