Niels C Beck, PHD – Clinical Psychologist

Key facts

NPI: 1700835972
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Psychologist 103TC0700X
License: PY00091 (MO)
Practice address: 1 Hospital Dr
Columbia, MO 65212-0001
Phone: (573) 882-8913
Fax: (573) 884-1070
NPI assigned: May 8, 2006
Sex: Male
Sole proprietor: No

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 and National Provider Directory roles.

Burrell, Inc. Community/Behavioral Health Agency · Springfield, MO · NPI 1275541740

NPD (past)

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
PY00091	MO	MD	Clinical Psychologist

Practice roles

Organization	Specialty	Status	New patients
Burrell, Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Psychologist	103TC0700X	PY00091	MO	Yes

Addresses

Primary practice location

1 Hospital Dr
Columbia, MO 65212-0001

Mailing address

PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	MUDOCREFERRAL@direct.health.missouri.edu	Direct	Curators of the University of Missouri

Other providers in Columbia, MO

All providers in Columbia, 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 Aug 16, 2022. 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.

Verify at the official NPI Registry.