Organization Active NPI

Hutson Psychological Services, LLC

  • Clinical Psychologist
  • Springfield, MO
National Provider Identifier
1841484896
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2000159807 Issued in MO
Legal business name
HUTSON PSYCHOLOGICAL SERVICES, LLC
Practice address
1638C E Republic Rd
Springfield, MO 65804-6509
Phone
(417) 839-1156
Fax
(417) 882-7765
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Dr. Sheila Hutson, PSY.D
Title
Psychologist
Phone
(417) 839-1156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2000159807 MO Primary

Addresses

Primary practice location

1638C E Republic Rd
Springfield, MO 65804-6509

Mailing address

1638C E Republic Rd
Springfield, MO 65804-6509
Phone (417) 839-1156

Other identifiers 1

IdentifierTypeStateIssuer
494998016MedicaidMO

National Provider Directory

National Provider Directory

Locations

1638C E Republic Rd
Springfield, MO 65804
Phone (417) 839-1156

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1841484896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638C E REPUBLIC RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046509",
            "telephone_number": "417-839-1156",
            "fax_number": "417-882-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638C E REPUBLIC RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046509",
            "telephone_number": "417-839-1156",
            "fax_number": "417-882-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTSON PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "HUTSON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "417-839-1156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2000159807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494998016",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.