Psychological Associates of Southwest Missouri, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2002030466 Issued in MO

Legal business name

PSYCHOLOGICAL ASSOCIATES OF SOUTHWEST MISSOURI, LLC

Practice address

1110 W Harmony St Ste D
Neosho, MO 64850-1638

Phone

(417) 455-5875

NPI assigned

Sep 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Morgan Williams, PH.D.NPI 1447387238

Title

Owner/Director

Phone

(417) 455-5875

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

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

• Morgan E Williams, PH.D.

  • Psychologist
  • Neosho, MO
  • NPI 1447387238
  Medicare reassignment NPD Authorized official
• Chyna Rhoades, L.P.C.

  • Mental Health Counselor
  • Kansas City, MO
  • NPI 1699468132
  NPD
• Melinda Annette Gibson, MS, PLPC

  • Professional Counselor
  • Joplin, MO
  • NPI 1578874160
  NPD (past)

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1508015371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5609",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727140609",
            "telephone_number": "417-455-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W HARMONY ST STE D",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501638",
            "telephone_number": "417-455-5875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Hazel St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "MO",
            "postal_code": "648362850",
            "country_code": "US",
            "telephone_number": "417-237-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 N Range Line Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648018322",
            "country_code": "US",
            "telephone_number": "417-624-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSOCIATES OF SOUTHWEST MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "417-455-5875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2002030466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Journey Polacek, COTA
• Kristin Popa, P.T.
• Edward M Porter, D.O.
• Prime Care Family Medicine, Inc
• Lucas Bryan Pryor
• Cheryl Ellen Rabe, M.S.,L.C.S.W.
• Patricia Ann Ramsey, MA CCC SLP
• Richard Rauk, CRNA
• Jon L Reagan Jr., DDS
• Lindsay Reese

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.