Individual provider Active NPI

Steven Brian Adams, PSY.D.

  • Clinical Psychologist
  • Lebanon, MO
National Provider Identifier
1821176074
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1999140252 Issued in MO
Practice address
235 W Commercial St
Lebanon, MO 65536-3145
Phone
(417) 532-6359
Fax
(417) 532-0835
NPI assigned
Nov 2, 2006
Last updated
Jul 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1999140252 MO Primary

Addresses

Primary practice location

235 W Commercial St
Lebanon, MO 65536-3145

Mailing address

PO Box 231
Lebanon, MO 65536-0231
Phone (417) 532-6359

Other identifiers 1

IdentifierTypeStateIssuer
494787401MedicaidMO

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041110000043 MO Practitioner - Clinical Psychologist 2466415179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3506 S Culpepper Cir
Suite F
Springfield, MO 65804-4252
Phone (417) 888-3012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23817TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling and Consulting, P.C. Clinical CurrentSince Nov 30, 2004 Accepting new patients

Locations

13610 Barrett Office Dr
Ste 104
Ballwin, MO 63021
Phone (314) 677-1315

139 E US Highway 54
Camdenton, MO 65020
Phone (573) 346-9855

235 W Commercial St
Lebanon, MO 65536
Phone (417) 532-6359

200 NE Missouri Rd
Ste 200
Lees Summit, MO 64086
Phone (816) 251-4525

605 NE Woods Chapel Rd
Ste B
Lees Summit, MO 64064
Phone (816) 622-9640

2200 E Sunshine St
Ste 215
Springfield, MO 65804
Phone (417) 888-3012

3506 S Culpepper Cir
Ste F
Springfield, MO 65804
Phone (417) 888-3012

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1821176074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655360231",
            "telephone_number": "417-532-6359",
            "fax_number": "417-532-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W COMMERCIAL ST",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363145",
            "telephone_number": "417-532-6359",
            "fax_number": "417-532-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "STEVEN",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "1999140252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494787401",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, MO

Sources for this page

Verify at the official NPI Registry.