David Dahlbeck, PHD
Individual provider Active NPI Clinical Psychologist · Sikeston, MO
NPI 1861795643 · NPPES record last updated Mar 8, 2021
Key facts
- NPI
- 1861795643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2009028498 (MO)
- Practice address
- 1012 N Main St
Sikeston, MO 63801-5044 - Phone
- (573) 471-0330
- Fax
- (573) 471-0461
- NPI assigned
- Dec 16, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Francis Medical Center
Practice addresses (Care Compare)
1008 N Main St
Missouri Delta Medical Center
Sikeston, MO 63801-5044
Phone (573) 471-1600
1012 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-0330
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 |
|---|---|---|---|---|
| I20160815002472 | MO | Practitioner - Clinical Psychologist | 9739473646 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009028498 | MO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Medical Center | Current |
Accepting new patients |
Locations
211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000
1012 N Main St
#Saint
Sikeston, MO 63801
Phone (573) 471-0330
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2009028498 | MO | Yes |
Addresses
Primary practice location
1012 N Main St
Sikeston, MO 63801-5044
Mailing address
PO Box 801143
Kansas City, MO 64180-1143
Phone (573) 331-5583
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2009028498 | Other | MO | MO STATE LICENCE |
Other providers in Sikeston, MO
- Michael Edward Critchlow
- Crossroads Isl, LLC
- Crossroads Isl, LLC
- Crossroads Isl, LLC
- Sarah H Curry
- Ryan Jon Dalisky
- Brandy Melisa Dallas
- Tracy Davied
- Christine Elizabeth Davis
- Daybreak Nursing Center LLC
All providers in Sikeston, 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 Mar 8, 2021. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.