Individual provider Active NPI

Donald Reeves Respess, PSY.D.

  • Clinical Psychologist
  • Frontenac, MO
National Provider Identifier
1578896882
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2009027726 Issued in MO
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

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117001584 MO Practitioner - Clinical Psychologist 7416143326 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
2009027726MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Katie Boyd, Psy.D., LLC CurrentSince Oct 24, 2017 Accepting new patients
Donald Respess, PSYD, LLC CurrentSince Oct 24, 2017 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.

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

Verify at the official NPI Registry.