Individual provider Active NPI

Robert Wayne Pulcher, PHD PSYCHOLOGIST

  • Psychologist
  • Warrensburg, MO
National Provider Identifier
1417920455
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
00404 Issued in MO
Practice address
502 Burkarth Rd
Ste D
Warrensburg, MO 64093-3104
Phone
(660) 429-6678
Fax
(660) 429-6672
NPI assigned
Feb 9, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 00404 MO Primary

Addresses

Primary practice location

502 Burkarth Rd
Ste D
Warrensburg, MO 64093-3104

Mailing address

PO Box F
502 Burkarth Rd Ste D
Warrensburg, MO 64093-0890
Phone (660) 429-6678

Other identifiers 2

IdentifierTypeStateIssuer
06714038OtherMOBCBS
7587473001OtherMOMEDICAID QMB

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
00404MOMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417920455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX F",
            "address_2": "502 BURKARTH RD STE D",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640930890",
            "telephone_number": "660-429-6678",
            "fax_number": "660-429-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BURKARTH RD",
            "address_2": "STE D",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933104",
            "telephone_number": "660-429-6678",
            "fax_number": "660-429-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULCHER",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "PHD PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "00404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06714038",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID QMB",
            "identifier": "7587473001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 13, 2026; 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.