Individual provider Active NPI

Stephanie Michelle Hartley

  • Psychologist
  • Springfield, MO
National Provider Identifier
1528929577
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2025047854 Issued in MO
Practice address
1623 E Saint Louis St
Springfield, MO 65802-3129
Phone
(417) 833-9999
Fax
(417) 833-2727
NPI assigned
Nov 19, 2025
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2025047854 MO Primary

Addresses

Primary practice location

1623 E Saint Louis St
Springfield, MO 65802-3129

Mailing address

1623 E Saint Louis St
Springfield, MO 65802-3129
Phone (417) 343-3322

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

State licenses

LicenseStateTypeSpecialty
2025047854MOMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Psychological Services CurrentSince Jan 4, 2026 Accepting new patients

Locations

1623 E Saint Louis St
Springfield, MO 65802
Phone (417) 818-4187

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1528929577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 E SAINT LOUIS ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023129",
            "telephone_number": "417-343-3322",
            "fax_number": "417-833-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 E SAINT LOUIS ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023129",
            "telephone_number": "417-833-9999",
            "fax_number": "417-833-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2025047854",
            "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 Nov 19, 2025; 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.