Latasha Sunshine Dean, LP, PSYD
Individual provider Active NPI Clinical Psychologist · Windsor, MO
NPI 1831781871 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1831781871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2021003133 (MO)
- Practice address
- 307 N Main St
Windsor, MO 65360-1449 - Phone
- (888) 403-1071
- NPI assigned
- Feb 10, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241212002926 | MO | Practitioner - Clinical Psychologist | 3870029978 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021003133 | MO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Current |
Accepting new patients | |
| Compass Health, Inc | Current |
Accepting new patients |
Locations
1800 Community
#B
Clinton, MO 64735
1800 Community
Clinton, MO 64735
Phone (660) 885-8131
307 N Main St
Windsor, MO 65360
Phone (660) 647-2182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2021003133 | MO | Yes |
Addresses
Primary practice location
307 N Main St
Windsor, MO 65360-1449
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (888) 403-1071
Other providers in Windsor, MO
- Cassie Elizabeth Brown
- Lisa D Brown
- Brandon Beck Carroll
- Amie Lynn Cooper
- Carl D Davis Jr.
- Jennifer G. Dier
- Amie Lynn Etters
- Patrick James Fletcher
- Fresh Start Adult Day Care of Missouri Inc
- Golden Valley Memorial Hospital District
All providers in Windsor, MO · Clinical Psychologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.