Family Psychology of Springfield, LLC

Primary specialty

Family PsychologistTaxonomy code 103TF0000X

License

PYRO495 Issued in MO

Legal business name

FAMILY PSYCHOLOGY OF SPRINGFIELD, LLC

Practice address

2053 S Waverly Ave
Springfield, MO 65804-2414

Phone

(417) 886-8262

Fax

(417) 886-8109

NPI assigned

May 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Deborah L Cox, PH.D., ABPP

Title

Psychologist/Owner

Phone

(417) 886-8262

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1790919165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 S WAVERLY AVE",
            "address_2": "SUITE D",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042414",
            "telephone_number": "417-886-8262",
            "fax_number": "417-886-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 S WAVERLY AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042414",
            "telephone_number": "417-886-8262",
            "fax_number": "417-886-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PSYCHOLOGY OF SPRINGFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "417-886-8262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., ABPP"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Family",
            "state": "MO",
            "license": "PYRO495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11801084",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Psychologist in Springfield, MO
• Providers in Springfield, MO by specialty
• Family Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.