Joan Ellen Bender, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

01160 Issued in MO

Practice address

309 N Jefferson Ave
Suite 221
Springfield, MO 65806-1108

Phone

(417) 862-0021

Fax

(417) 862-0021

NPI assigned

Oct 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861581076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 N JEFFERSON AVE",
            "address_2": "SUITE 221",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658061108",
            "telephone_number": "417-862-0021",
            "fax_number": "417-862-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N JEFFERSON AVE",
            "address_2": "SUITE 221",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658061108",
            "telephone_number": "417-862-0021",
            "fax_number": "417-862-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "JOAN",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "01160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496957903",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norbert Thomas Belz, M.D., M.P.H.
• Andrew Benbow, DO
• Catherine Edele Benbow, D.O.
• Andrea Bench, MS, LPC
• Genevieve Bendeck, PSYD, LP
• Sheena Bender, FNP
• Nishua F Bendt, DO
• Jessica Rachel Bendure, MS, LPC
• Robert E Benedett, MD
• Elsi M Benefiel, PLPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.