Active NPI
Patricia Hogan Mort, D.O.
- Psychiatry Physician
- Branson, MO
National Provider Identifier
1669470605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 36378
- Practice address
- 5571 N Gretna Rd
Branson, MO 65616 - Phone
- (417) 243-2300
- Fax
- (417) 243-2381
- NPI assigned
- Jul 13, 2005
- Last updated
- Jul 11, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 36378 | MO | Primary |
Addresses
Primary practice location
5571 N Gretna Rd
Branson, MO 65616
Mailing address
1662 S Orchard Crest Ave
Springfield, MO 65807-1066
Phone (417) 350-1895
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200256010D | Medicaid | KS | |
| 241791276 | Medicaid | MO |
Other names 1
- Dr. Patricia Eileen Hogan
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
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Guidance Center for Behavioral Healthcare | Current | Accepting new patients |
Locations
724 N 22nd St
Saint Joseph, MO 64506
Phone (816) 396-5800
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Saint Joseph, MO
- NPI 1932225141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1669470605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1662 S ORCHARD CREST AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658071066",
"telephone_number": "417-350-1895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5571 N GRETNA RD",
"city": "BRANSON",
"state": "MO",
"postal_code": "65616",
"telephone_number": "417-243-2300",
"fax_number": "417-243-2381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORT",
"first_name": "PATRICIA",
"middle_name": "HOGAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-13",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "36378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200256010D",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241791276",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "HOGAN",
"middle_name": "EILEEN",
"prefix": "DR.",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.