Individual provider Active NPI

John K Kreymer, PSY.D

  • Clinical Psychologist
  • Springfield, MO
National Provider Identifier
1679689236
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1999140462 Issued in MO
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

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220622001449 TX Practitioner - Clinical Psychologist 0345152583 Reassigns benefits to 1 organization
I20241209001605 AR Practitioner - Clinical Psychologist 0345152583 Reassigns benefits to 1 organization

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
Psy-Med, Inc.Group PAC ID 5092863662, 12 clinicians

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

LicenseStateTypeSpecialty
1999140462MOMDClinical Psychologist
877LAMDMarriage & Family Therapist
39390TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Psy-Med, Inc. CurrentSince Apr 5, 2022 Accepting new patients
Compass Counselling Services Past Accepting new patients
Neuropsychological Associates of Southwest Missouri, P.C. Clinical PastSince Feb 1, 1997 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.