Active NPI
David L Overstreet, PH D
- Clinical Psychologist
- Florissant, MO
National Provider Identifier
1710040902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 01765
- Practice address
- 1281 Graham Rd
Suite 305
Florissant, MO 63031-8029 - Phone
- (314) 831-7774
- Fax
- (314) 831-2775
- NPI assigned
- Dec 18, 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 | 01765 | MO | Primary |
Addresses
Primary practice location
1281 Graham Rd
Suite 305
Florissant, MO 63031-8029
Mailing address
1281 Graham Rd
Suite 305
Florissant, MO 63031-8029
Phone (314) 831-7774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 496832528 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Network, Inc. | Current | Accepting new patients | |
| David a. Lipsitz, PH.D., Inc | Clinical | Current | Accepting new patients |
Locations
58 Portwest Ct
Saint Charles, MO 63303
Phone (636) 916-5800
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Saint Peters, MO
- NPI 1710294301
-
- Counselor
- St. Charles, MO
- NPI 1902925407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1710040902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1281 GRAHAM RD",
"address_2": "SUITE 305",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630318029",
"telephone_number": "314-831-7774",
"fax_number": "314-831-2775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1281 GRAHAM RD",
"address_2": "SUITE 305",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630318029",
"telephone_number": "314-831-7774",
"fax_number": "314-831-2775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERSTREET",
"first_name": "DAVID",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "01765",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "496832528",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.