Eileen Bartow-Rives, PHD, LP
Individual provider Active NPI Clinical Psychologist · Springfield, MO
NPI 1669478608 · NPPES record last updated May 13, 2019
Key facts
- NPI
- 1669478608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 00988 (MO)
- Practice address
- 1350 E Bradford Pkwy
Springfield, MO 65804-4376 - Phone
- (417) 761-5850
- Fax
- (417) 761-5851
- NPI assigned
- Jun 23, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00988 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 00988 | MO | Yes |
Addresses
Primary practice location
1350 E Bradford Pkwy
Springfield, MO 65804-4376
Mailing address
1300 E Bradford Pkwy
Springfield, MO 65804-4264
Phone (417) 269-5400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 493253736 | Medicaid | MO |
Other providers in Springfield, MO
- William Zachery Bartels
- Isabel Bartkowiak
- Amanda Janine Bartlett
- Dustin Bartlett
- Anjonette Renae Barton
- Brian E. Basham
- Mandy Michelle Basham
- Stephanie L. Basham
- Leslie Bashioum
- Aamir Bashir
All providers in Springfield, MO · Clinical Psychologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.