Adam C. Andreassen, PSY. D, LP
Individual provider Active NPI Clinical Psychologist · Springfield, MO
NPI 1528242005 · NPPES record last updated Jan 9, 2024
Key facts
- NPI
- 1528242005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2008031131 (MO)
- Practice address
- 1300 E Bradford Pkwy
Springfield, MO 65804 - Phone
- (417) 761-5000
- Fax
- (417) 761-5065
- NPI assigned
- Dec 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharol McGehee & Associates PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2008031131 | MO | Yes |
Addresses
Primary practice location
1300 E Bradford Pkwy
Springfield, MO 65804
Mailing address
1300 E Bradford Pkwy
Springfield, MO 65804-4264
Phone (417) 761-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 494050206 | Medicaid | MO |
Other providers in Springfield, MO
- Shae E Anderson
- Shane Lyn Anderson
- Susan Lynn Anderson
- Teresa Renee Anderson
- Todd Douglas Anderson
- Elizabeth J. Andrews
- Kimberly Jean Andrews
- Paul Ellis Andrews
- Collin Andrus
- Jaylee Nicole Andrus
All providers in Springfield, MO · Clinical Psychologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.