Active NPI
Dr. Michael S. Londe, PH.D., LLC
- Community/Behavioral Health Agency
- Joplin, MO
National Provider Identifier
1871984062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1175
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11629935 | Other | MO | CAQH |
National Provider Directory
National Provider DirectoryLocations
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.