Individual provider Active NPI

Laurel A Kramer, PHD

  • Psychologist
  • Jefferson City, MO
National Provider Identifier
1538105986
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
01792 Issued in MO
Practice address
3702 W Truman Blvd
Suite 115
Jefferson City, MO 65109-4970
Phone
(573) 634-5303
Fax
(573) 761-6888
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 01792 MO Primary

Addresses

Primary practice location

3702 W Truman Blvd
Suite 115
Jefferson City, MO 65109-4970

Mailing address

1048 Roseridge Cir
Jefferson City, MO 65101-3640
Phone (573) 634-9017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000228 MO Practitioner - Clinical Psychologist 2062485766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
86.39
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
01792MOMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Regional Health Services CurrentSince Jan 1, 2000 Accepting new patients
SSM Regional Health Services CurrentSince Jan 1, 2000 Accepting new patients
SSM Regional Health Services Past Accepting new patients

Locations

7655 Solutions Ctr
Chicago, IL 60677

100 Saint Marys Plz
Jefferson Cty, MO 65101
Phone (573) 635-7642

3702 W Truman Blvd
Ste 115
Jefferson Cty, MO 65109
Phone (573) 634-5303

2701 W Edgewood Dr
Ste 101
Jefferson Cty, MO 65109
Phone (573) 634-5303

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538105986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 ROSERIDGE CIR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013640",
            "telephone_number": "573-634-9017",
            "fax_number": "573-761-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 W TRUMAN BLVD",
            "address_2": "SUITE 115",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651094970",
            "telephone_number": "573-634-5303",
            "fax_number": "573-761-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "LAUREL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "01792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.