Organization Active NPI

Dr. Michael S. Londe, PH.D., LLC

  • Community/Behavioral Health Agency
  • Joplin, MO
National Provider Identifier
1871984062
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1175 Issued in MO
Legal business name
DR. MICHAEL S. LONDE, PH.D., LLC
Practice address
1704 E 4TH St
Joplin, MO 64801-1807
Phone
(417) 781-2868
Fax
(417) 781-1922
NPI assigned
Feb 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Dr. Michael S Londe, LADC
Title
Owner
Phone
(417) 781-2868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1175 MO Primary

Addresses

Primary practice location

1704 E 4TH St
Joplin, MO 64801-1807

Mailing address

1704 E 4TH St
Joplin, MO 64801-1807
Phone (417) 781-2868

Other identifiers 1

IdentifierTypeStateIssuer
11629935OtherMOCAQH

National Provider Directory

National Provider Directory

Locations

1704 E 4th St
Joplin, MO 64801
Phone (417) 781-2868

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1871984062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 E 4TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648011807",
            "telephone_number": "417-781-2868",
            "fax_number": "417-781-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 E 4TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648011807",
            "telephone_number": "417-781-2868",
            "fax_number": "417-781-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL S. LONDE, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "LONDE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-781-2868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "1175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11629935",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.