Carol Shriver, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

R0521 Issued in MO

Practice address

3025 W Oakhaven LN
Springfield, MO 65810-1948

Phone

(417) 844-3768

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ava No 2 Inc

  • Assisted Living Facility
  • Ava, MO
  • NPI 1790050565
  NPD (past)
• Neuropsychological Associates of Southwest Missouri, P.C.

  • Clinical Neuropsychologist
  • Springfield, MO
  • NPI 1780776807
  NPD (past)
• Ozarks Medical Center

  • Psychiatric Hospital Unit
  • West Plains, MO
  • NPI 1235929027
  NPD (past)
• Professional Eye Care Inc

  • Optometrist
  • Platte City, MO
  • NPI 1588680193
  NPD (past)
• The Baptist Home

  • Assisted Living Facility
  • Ozark, MO
  • NPI 1902660467
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1811037237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 S NATIONAL AVE STE 201",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102607",
            "telephone_number": "417-844-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 W OAKHAVEN LN",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101948",
            "telephone_number": "417-844-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRIVER",
        "first_name": "CAROL",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "R0521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498161744",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Show Me Systems LLC
• Jacob Showalter, MS
• David K Showers, D.O.
• Rachael N Shreve, MS, LPC
• Micayla Shrimpton, DDS
• Khushbu Shukla, M.D
• Kristen Ann-Lynnette Shuler, MSW, LCSW
• Melissa G Shultz, MS, LPC
• Thomas M. Shultz, M.D.
• Matthew Blaine Shurtz, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.