Christopher Slaughter Prickett, PHD
Individual provider Active NPI Clinical Child & Adolescent Psychologist · Columbia, MO
NPI 1730879263 · NPPES record last updated Feb 4, 2026
Key facts
- NPI
- 1730879263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Child & Adolescent Psychologist 103TC2200X
- License
- 2025040316 (MO)
- Practice address
- 205 Portland St
Columbia, MO 65201-6521 - Phone
- (573) 884-6052
- Fax
- (573) 884-1151
- NPI assigned
- May 9, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Hospital Dr
Columbia, MO 65201-5276
1 Hospital Dr
Columbia, MO 65212-1001
PO Box
Kansas City, MO 64184
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230809002452 | TX | Practitioner - Clinical Psychologist | 5294193165 | Reassigns benefits to 1 organization |
| I20260303003855 | MO | Practitioner - Clinical Psychologist | 5294193165 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39854 | TX | MD | Psychologist |
| 2025040316 | MO | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Curators of the University of Missouri | Current |
Accepting new patients | |
| Curators of the University of Missouri | Current |
Accepting new patients |
Locations
3 Hospital Dr
Columbia, MO 65201
Phone (573) 882-8913
205 Portland St
Columbia, MO 65201
Phone (573) 884-5596
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 39854 | TX | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 2025040316 | MO | Yes |
Addresses
Primary practice location
205 Portland St
Columbia, MO 65201-6521
Mailing address
3533 S Alameda St
Corpus Christi, TX 78411-1721
Phone (361) 694-5000
Other practice location 1
3533 S Alameda St
Corpus Christi, TX 78411-1721
Phone (361) 694-5000
NPI Registry JSON
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1730879263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3533 S ALAMEDA ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784111721",
"telephone_number": "361-694-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 PORTLAND ST",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016521",
"telephone_number": "573-884-6052",
"fax_number": "573-884-1151"
}
],
"practiceLocations": [
{
"address_1": "3533 S Alameda St",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784111721",
"country_code": "US",
"telephone_number": "361-694-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRICKETT",
"first_name": "CHRISTOPHER",
"middle_name": "SLAUGHTER",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-09",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "39854",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MO",
"license": "2025040316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
- Donna R Preston
- Nathaniel Hayse Prevette
- George Prica Jr.
- Alicia Aixala Price
- Jill Karen Price
- Marydeth L Priesmeyer
- Prime Supported Living LLC
- Prime Supported Living LLC
- Alaina Prince
- Hannah Elizabeth Prince
All providers in Columbia, MO · Clinical Child & Adolescent 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 Feb 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.