NPIMap

Organization Active NPI

Springfield Psychiatry & Addiction Medicine LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Springfield, MO
National Provider Identifier
1427733898
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
SPRINGFIELD PSYCHIATRY & ADDICTION MEDICINE LLC
Practice address
1675 E Seminole St Ste A1
Springfield, MO 65804-2454
Phone
(417) 557-2355
Fax
(417) 530-1455
NPI assigned
Jun 21, 2023
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Michelle Raymond
Title
Ceo
Phone
(417) 557-2355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X NU Primary

Addresses

Primary practice location

1675 E Seminole St Ste A1
Springfield, MO 65804-2454

Mailing address

1675 E Seminole St Ste A1
Springfield, MO 65804-2454
Phone (417) 557-2355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230801000183 MO Part B Supplier - Clinic/Group Practice 6901267400 Receives reassigned benefits from 15 practitioners
Practice locations: Springfield, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1427733898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 E SEMINOLE ST STE A1",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042454",
            "telephone_number": "417-557-2355",
            "fax_number": "417-530-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 E SEMINOLE ST STE A1",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042454",
            "telephone_number": "417-557-2355",
            "fax_number": "417-530-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD PSYCHIATRY & ADDICTION MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-557-2355"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.