Karen A Macdonald, PSY D

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

01527 Issued in MO

Practice address

116 S Lincoln Dr
Troy, MO 63379-1418

Phone

(636) 528-1996

Fax

(636) 528-1833

NPI assigned

Jan 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Karen A Fried Former name

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

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Wellness, LLCGroup PAC ID 5395742316, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mental Wellness, LLC

  • Clinical Psychologist
  • Osage Beach, MO
  • NPI 1639254600
  Medicare reassignment Care Compare group
• Clearview Outpatient Services Inc.

  • Psychologist
  • Osage Beach, MO
  • NPI 1619000304
  NPD (past)
• Compass Health, Inc

  • Community/Behavioral Health Agency
  • Clinton, MO
  • NPI 1285619494
  NPD (past)
• Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rolla, MO
  • NPI 1558258632
  NPD (past)
• Lake Behavioral Health Associates, LLC

  • Clinical Psychologist
  • Osage Beach, MO
  • NPI 1942241203
  NPD (past)

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

{
    "created_epoch": "1136160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1598743452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S LINCOLN DR",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791418",
            "telephone_number": "636-528-1996",
            "fax_number": "636-528-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S LINCOLN DR",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791418",
            "telephone_number": "636-528-1996",
            "fax_number": "636-528-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "KAREN",
        "middle_name": "A",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-02",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MO",
            "license": "01527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493457824",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "FRIED",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lacy Loeb, FNP
• Sherilyn Marie Loftsgard, MS CF-SLP
• Lori Seulean LLC
• Heather Elaine Ludwig, MPT
• Cassandra L Lutes, APRN,FNP
• Anne Marie Maestas, DPM
• Patricia A Mahathath, PMHNP, FNP
• Joyce Maixner, FNP-BC
• Katherine Manning
• Mark Jay Beckwith

• Cognitive & Behavioral Psychologist in Troy, MO
• Providers in Troy, MO by specialty
• Cognitive & Behavioral Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.

Verify at the official NPI Registry.