NPIMap

Organization Active NPI

Rural Mental Health Services, LLC

  • Clinical Psychologist
  • Mansfield, MO
National Provider Identifier
1770810269
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2005028850 Issued in MO
Legal business name
RURAL MENTAL HEALTH SERVICES, LLC
Practice address
812 N Highway 5
Mansfield, MO 65704-7301
Phone
(417) 924-2059
Fax
(417) 924-2069
NPI assigned
Nov 4, 2009
Last updated
Feb 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Janice L May, PSYD
Title
President
Phone
(417) 343-3579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2005028850 MO Primary

Addresses

Primary practice location

812 N Highway 5
Mansfield, MO 65704-7301

Mailing address

PO Box 677
Mansfield, MO 65704-0677
Phone (417) 924-2059

Other identifiers 1

IdentifierTypeStateIssuer
499037620MedicaidMO

National Provider Directory

National Provider Directory

Locations

24 Industry Rd
Ste B
Rogersville, MO 65742
Phone (417) 753-7347

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1770810269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "MANSFIELD",
            "state": "MO",
            "postal_code": "657040677",
            "telephone_number": "417-924-2059",
            "fax_number": "417-924-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 N HIGHWAY 5",
            "city": "MANSFIELD",
            "state": "MO",
            "postal_code": "657047301",
            "telephone_number": "417-924-2059",
            "fax_number": "417-924-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-343-3579",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2005028850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499037620",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.