Active NPI
Steven J Adelman, PSYD
- Cognitive & Behavioral Psychologist
- Versailles, MO
National Provider Identifier
1619954864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- R0513
- Practice address
- 108 W Jasper St
Versailles, MO 65084-1020 - Phone
- (573) 378-6833
- Fax
- (573) 378-6823
- NPI assigned
- Dec 29, 2005
- 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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | R0513 | MO | Primary |
Addresses
Primary practice location
108 W Jasper St
Versailles, MO 65084-1020
Mailing address
PO Box 21
Versailles, MO 65084-0021
Phone (573) 378-6833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0513 | MO | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearview Outpatient Services Inc. | Past | Accepting new patients | |
| Lake Behavioral Health Associates, LLC | Past | Accepting new patients |
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.
-
- Psychologist
- Osage Beach, MO
- NPI 1619000304
-
- Clinical Psychologist
- Osage Beach, MO
- NPI 1942241203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619954864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21",
"city": "VERSAILLES",
"state": "MO",
"postal_code": "650840021",
"telephone_number": "573-378-6833",
"fax_number": "573-378-6823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 W JASPER ST",
"city": "VERSAILLES",
"state": "MO",
"postal_code": "650841020",
"telephone_number": "573-378-6833",
"fax_number": "573-378-6823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADELMAN",
"first_name": "STEVEN",
"middle_name": "J",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MO",
"license": "R0513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Versailles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.