Active NPI
Michael Martin Luther Krownapple, PSY.D.
- Clinical Psychologist
- Farmington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2008031123
- Practice address
- 1010 W Columbia St
Farmington, MO 63640-2902 - Phone
- (573) 218-6040
- NPI assigned
- Sep 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2008031123 | MO | Primary |
Addresses
Primary practice location
1010 W Columbia St
Farmington, MO 63640-2902
Mailing address
2109A Russell Blvd
Saint Louis, MO 63104-2606
Phone (314) 566-3391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1531 Nebraska St
Tiffany Heights
Mound City, MO 64470-1610
Phone (660) 442-3146
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.16 of 100
- Quality
- 80.99
- Improvement activities
- 40
- Cost
- 72.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Psychiatric Services Inc | Current | Accepting new patients | |
| Creative Change, LLC | Clinical | Current | Accepting new patients |
| Deer Oaks Mental Health Associates PC | Clinical | Current | Accepting new patients |
| Advanced Psychiatric Services | Past | Accepting new patients | |
| Spiritual Family Counseling, LLC | Past | Accepting new patients |
Locations
1300 County Farm Rd
Cassville, MO 65625
Phone (417) 847-3386
807 Collins Dr
Festus, MO 63028
Phone (636) 931-4206
4741 Central St
Kansas City, MO 64112
Phone (816) 265-2551
1531 Nebraska St
Mound City, MO 64470
Phone (660) 442-3146
50 Crestwood Executive Ctr
Ste 435
Saint Louis, MO 63126
Phone (314) 254-3455
7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Festus, MO
- NPI 1154372464
-
- Clinical Psychologist
- Ellisville, MO
- NPI 1760515498
-
- Psychiatry Physician
- Sullivan, MO
- NPI 1457303877
-
- Clinical Social Worker
- Troy, MI
- NPI 1851885925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1568779189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109A RUSSELL BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631042606",
"telephone_number": "314-566-3391",
"fax_number": "573-218-7053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 W COLUMBIA ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636402902",
"telephone_number": "573-218-6040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROWNAPPLE",
"first_name": "MICHAEL",
"middle_name": "MARTIN LUTHER",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-02",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2008031123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.