Wellness Company VII

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1999140492 Issued in MO

Legal business name

WELLNESS COMPANY VII

Practice address

1819 W Austin Blvd Ste C
Nevada, MO 64772-3708

Phone

(417) 283-6151

Fax

(417) 283-6152

NPI assigned

Nov 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Patricia E Bridgewater, PSY.D.

Title

Licensed Psychologist

Phone

(417) 549-0572

Specialties & licenses 1

Addresses

Other names 1

• Tricia Bridgewater Other name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cathy A Bofetta, PSY.D

  • Clinical Psychologist
  • Nevada, MO
  • NPI 1437234002
  NPD (past)
• Carolyn Karr, PH.D.

  • Clinical Psychologist
  • Henderson, NV
  • NPI 1346310356
  NPD (past)

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1659625937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 W AUSTIN BLVD STE C",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723708",
            "telephone_number": "417-283-6151",
            "fax_number": "417-283-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W AUSTIN BLVD STE C",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723708",
            "telephone_number": "417-283-6151",
            "fax_number": "417-283-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS COMPANY VII",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "BRIDGEWATER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "417-549-0572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "1999140492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tricia Bridgewater",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Stuart N Walker, RPH
• Kimberly Jean Wegner, RD
• Wellness Company II
• Timothy L Wells, LPC
• Bret White, LCSW
• Emelia S. Whiteaker, ATC, PES
• Christine Renee Whitworth, LPC
• Wilkinson Pharmacy, Inc

• Clinical Psychologist in Nevada, MO
• Providers in Nevada, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.