Active NPI
John K Kreymer, PSY.D
- Clinical Psychologist
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1999140462
- Practice address
- 2135 S Fremont Ave
Springfield, MO 65804-2239 - Phone
- (417) 820-2000
- NPI assigned
- Aug 23, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1999140462 | MO | Primary |
Addresses
Primary practice location
2135 S Fremont Ave
Springfield, MO 65804-2239
Mailing address
1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2713 S 74TH St
Suite 401
Fort Smith, AR 72903-5173
Phone (214) 348-5557
7505 Fannin St
Suite 310
Houston, TX 77054-1945
Phone (214) 348-5557
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1999140462 | MO | MD | Clinical Psychologist |
| 877 | LA | MD | Marriage & Family Therapist |
| 39390 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psy-Med, Inc. | Current | Accepting new patients | |
| Compass Counselling Services | Past | Accepting new patients | |
| Neuropsychological Associates of Southwest Missouri, P.C. | Clinical | Past | Accepting new patients |
| Compass Counseling Services, LLC | Past | Accepting new patients |
Locations
2713 S 74th St
Ste 401
Fort Smith, AR 72903
Phone (479) 452-7324
8140 Walnut Hill Ln
Ste 308
Dallas, TX 75231
Phone (214) 348-5557
7505 Fannin St
Ste 310
Houston, TX 77054
Phone (214) 348-5557
Interoperability endpoints
- jkreymer13700@directb.mercy.net
Organizations & group practices 4
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.
-
- Professional Counselor
- Springfield, MO
- NPI 1194042002
-
- Community/Behavioral Health Agency
- Springfield, MO
- NPI 1093091514
-
- Clinical Neuropsychologist
- Springfield, MO
- NPI 1780776807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1679689236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 E CHEROKEE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042203",
"telephone_number": "417-820-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 S FREMONT AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042239",
"telephone_number": "417-820-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREYMER",
"first_name": "JOHN",
"middle_name": "K",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "1999140462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.