Active NPI
Donald Reeves Respess, PSY.D.
- Clinical Psychologist
- Frontenac, MO
National Provider Identifier
1578896882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2009027726
- Practice address
- 10411 Clayton Rd Ste 209
Frontenac, MO 63131-2912 - Phone
- (888) 373-6617
- NPI assigned
- Sep 18, 2009
- 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 | 2009027726 | MO | Primary |
Addresses
Primary practice location
10411 Clayton Rd Ste 209
Frontenac, MO 63131-2912
Mailing address
10411 Clayton Rd Ste 209
Frontenac, MO 63131-2912
Phone (888) 373-6617
Other practice location 1
7400 Highway N
O Fallon, MO 63368-7013
Phone (636) 561-7080
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, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10411 Clayton Rd
Suite 209
Saint Louis, MO 63131-2912
Phone (314) 833-8855
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009027726 | MO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katie Boyd, Psy.D., LLC | Current | Accepting new patients | |
| Donald Respess, PSYD, LLC | Current | Accepting new patients |
Locations
10411 Clayton Rd
Ste 209
Saint Louis, MO 63131
Phone (314) 833-8833
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Frontenac, MO
- NPI 1821501230
-
- Psychologist
- Saint Louis, MO
- NPI 1770096018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1578896882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10411 CLAYTON RD STE 209",
"city": "FRONTENAC",
"state": "MO",
"postal_code": "631312912",
"telephone_number": "888-373-6617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10411 CLAYTON RD STE 209",
"city": "FRONTENAC",
"state": "MO",
"postal_code": "631312912",
"telephone_number": "888-373-6617"
}
],
"practiceLocations": [
{
"address_1": "7400 Highway N",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "MO",
"postal_code": "633687013",
"country_code": "US",
"telephone_number": "636-561-7080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RESPESS",
"first_name": "DONALD",
"middle_name": "REEVES",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-18",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2009027726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frontenac, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.