Active NPI
Madeleine A Philpot, M.D.
- Psychiatry Physician
- Rolla, MO
National Provider Identifier
1699091777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2014021215
- Practice address
- 575 Blues Lake Parkway
Pcrmc Center Clinic
Rolla, MO 65401 - Phone
- (573) 426-2214
- Fax
- (573) 202-2455
- NPI assigned
- Apr 14, 2010
- Last updated
- Aug 22, 2019
- 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 | 2014021215 | MO | Primary |
Addresses
Primary practice location
575 Blues Lake Parkway
Pcrmc Center Clinic
Rolla, MO 65401
Mailing address
1050 W 10TH St
Attn: Executive Director of Physician Clinics
Rolla, MO 65401-2905
Phone (573) 364-9000
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014021215 | MO | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1699091777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 W 10TH ST",
"address_2": "ATTN: EXECUTIVE DIRECTOR OF PHYSICIAN CLINICS",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012905",
"telephone_number": "573-364-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 BLUES LAKE PARKWAY",
"address_2": "PCRMC CENTER CLINIC",
"city": "ROLLA",
"state": "MO",
"postal_code": "65401",
"telephone_number": "573-426-2214",
"fax_number": "573-202-2455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILPOT",
"first_name": "MADELEINE",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-14",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2014021215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rolla, MO
- Phelps County Regional Medical Center
- Phelps County Regional Medical Center (Phelps Health Pharmacy)
- Phelps County Regional Medical Center (Phelps Health)
- Tracy Phenix
- Mary Jane Phifer, CNM, MS
- Andrea Rose Phinney, MD
- Physician Surgery Center
- Physician Surgery Center
- Physician Surgery Center LLC
- Kevin G Pickens, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.