Roger Dale Paige, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

116659 Issued in MO

Practice address

1230 N Duquesne Rd
Joplin, MO 64801-1509

Phone

(417) 782-1443

Fax

(417) 782-3240

NPI assigned

Jul 18, 2005

Last updated

Apr 22, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1770582280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 N DUQUESNE RD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648011509",
            "telephone_number": "417-782-1443",
            "fax_number": "417-782-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 N DUQUESNE RD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648011509",
            "telephone_number": "417-782-1443",
            "fax_number": "417-782-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "ROGER",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "116659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203871215",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clinton J. Pace Jr., M.D.
• Jadyn Marie Pace
• Eric Daniel Pagan, LPC
• Maria Page, FNP-C
• Dan Paic, PT
• Johnna Painter
• Rachel A Painter
• Ryan Palmer, ATC
• Michelle Pannell, MD
• Hom Nath Pant, M.D

• Clinical Psychologist in Joplin, MO
• Providers in Joplin, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.