Charles Derick Darrow, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2021006104 Issued in MO

Practice address

3800 S National Ave Ste 770
Springfield, MO 65807-5283

Phone

(417) 269-6891

NPI assigned

Jul 13, 2021

Last updated

Jul 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1841862489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3942 S PARKCREST AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074636",
            "telephone_number": "402-525-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S NATIONAL AVE STE 770",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075283",
            "telephone_number": "417-269-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARROW",
        "first_name": "CHARLES",
        "middle_name": "DERICK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2021006104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Darmsteadter, M.D.
• Amanda Dawn Darris, LMT
• Jamil Darrouj, MD
• Darrow Enterprises LLC
• Darrow Psychological Services, P.C.
• Evelyn M. Darrow, PH.D.
• Lorri Jean Darrow, MD, PSYD
• Judy Kay Darst
• Daryl Horton DDS PC (Smilecare Dental Center)
• Virginia A Datema, MS, LPC

• 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 Jul 13, 2021; 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.