Active NPI
Overstreet Psychology Services
- Clinical Psychologist
- Florissant, MO
National Provider Identifier
1760668628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 01765
- Legal business name
- OVERSTREET PSYCHOLOGY SERVICES
- Practice address
- 1150 Graham Rd
Suite 115
Florissant, MO 63031-8077 - Phone
- (314) 831-7774
- Fax
- (314) 831-2775
- NPI assigned
- Jan 10, 2008
- Last updated
- Oct 20, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dave L. Overstreet, PH.D.
- Title
- Owner
- Phone
- (314) 831-7774
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 01765 | MO | Primary |
Addresses
Primary practice location
1150 Graham Rd
Suite 115
Florissant, MO 63031-8077
Mailing address
1150 Graham Rd
Suite 115
Florissant, MO 63031-8077
Phone (314) 831-7774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 990001701 | Other | MO | MEDICARE GROUP |
National Provider Directory
National Provider DirectoryLocations
1150 Graham Rd
Ste 115
Florissant, MO 63031
Phone (314) 831-7774
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319068800000",
"number": "1760668628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 GRAHAM RD",
"address_2": "SUITE 115",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630318077",
"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": "1150 GRAHAM RD",
"address_2": "SUITE 115",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630318077",
"telephone_number": "314-831-7774",
"fax_number": "314-831-2775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OVERSTREET PSYCHOLOGY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-10",
"last_updated": "2011-10-20",
"status": "A",
"authorized_official_last_name": "OVERSTREET",
"authorized_official_first_name": "DAVE",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-831-7774",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "01765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "990001701",
"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 Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.