Keith Allen Vunesky, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2006029922 Issued in MO

Practice address

2200 E Sunshine St
Suite 312
Springfield, MO 65804-1819

Phone

(417) 881-3759

Fax

(417) 881-7004

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Beginnings Behavioral Health

  • Clinical Psychologist
  • Nixa, MO
  • NPI 1285810432
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1437239175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S PINHOOK DR",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657148030",
            "telephone_number": "417-724-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E SUNSHINE ST",
            "address_2": "SUITE 312",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041819",
            "telephone_number": "417-881-3759",
            "fax_number": "417-881-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUNESKY",
        "first_name": "KEITH",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2006029922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOMHA MCR MISS PTAN",
            "identifier": "R88F227",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Nicole Voss
• Jordyn Vrba, ATS
• VSL Springfield Assisted Living LLC
• VSL Springfield Manor LLC
• Murali Mohan Rao Vuda, M.D
• Stephanie M Wacaser, LCSW
• Barbara Wachtel-Nash, PSYD
• Wade Wheeler D.D.S.P.C.
• William A Wagasy, D.D.S.
• Caitlyn Jo Wages, DC

• Clinical Psychologist in Springfield, MO
• Providers in Springfield, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.